26D2233702 CLIA NUMBER - LAURIE FAMILY PHARMACY

Laboratory Demographics

CLIA Number: 26D2233702

Facility Name: LAURIE FAMILY PHARMACY

Facility Address:
154 S MAIN
LAURIE, MO
ZIP 65038
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Facility Phone Number: 573 207-0805

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1194170795

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2233702
LAB Type	Pharmacy
Facility Name	LAURIE FAMILY PHARMACY
Street	154 S MAIN
City	LAURIE
State	MO
ZIP	65038
Phone	573 207-0805
CertificateType	4
CertificateEffectiveDate	8/25/2023
CertificateExpirationDate	8/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024