26D2282503 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #11307

Laboratory Demographics

  • CLIA Code: 26D2282503
  • Facility Name: MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #11307
  • Facility Address: 610 BURKARTH RD
    WARRENSBURG, MO
    ZIP 64093
  • Facility Phone: 660 747-9171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IBRAHIM SHILBAYA
  • NPI Number: 1336227032
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2282503
LAB Type Pharmacy
Facility Name MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #11307
Street 610 BURKARTH RD
City WARRENSBURG
State MO
ZIP 64093
Phone 660 747-9171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director IBRAHIM SHILBAYA

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