26D2282507 CLIA NUMBER - MISSOURI CVS PHARMACY LLC DA CVS/PHAMACY #10305

Laboratory Demographics

  • CLIA Code: 26D2282507
  • Facility Name: MISSOURI CVS PHARMACY LLC DA CVS/PHAMACY #10305
  • Facility Address: 100 EAST BROADWAY BLVD
    SEDALIA, MO
    ZIP 65301
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI BERGER
  • NPI Number: 1013349299
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2282507
LAB Type Pharmacy
Facility Name MISSOURI CVS PHARMACY LLC DA CVS/PHAMACY #10305
Street 100 EAST BROADWAY BLVD
City SEDALIA
State MO
ZIP 65301
Phone 866 389-2727
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 LORI BERGER

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