26D2276571 CLIA NUMBER - GRAND PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2276571
  • Facility Name: GRAND PHARMACY
  • Facility Address: 733 GRAND AVE
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 573 221-2792
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREG GILMORE
  • NPI Number: 1477625267
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2276571
LAB Type Pharmacy
Facility Name GRAND PHARMACY
Street 733 GRAND AVE
City HANNIBAL
State MO
ZIP 63401
Phone 573 221-2792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Pharmacy
Lab Director GREG GILMORE

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