26D2258415 CLIA NUMBER - PUREMEDS LLC (DBA-BIG BEND PHARMACY)

Laboratory Demographics

  • CLIA Code: 26D2258415
  • Facility Name: PUREMEDS LLC (DBA-BIG BEND PHARMACY)
  • Facility Address: 659 BIG BEND RD
    MANCHESTER, MO
    ZIP 63021
  • Facility Phone: 636 438-5095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAREESH KUMAR REDDY PALLI
  • NPI Number: 1104571363
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2258415
LAB Type Pharmacy
Facility Name PUREMEDS LLC (DBA-BIG BEND PHARMACY)
Street 659 BIG BEND RD
City MANCHESTER
State MO
ZIP 63021
Phone 636 438-5095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director HAREESH KUMAR REDDY PALLI

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This page was last updated on: 9/29/2025