26D2282510 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBS CVS/PHARMACY #08598

Laboratory Demographics

  • CLIA Code: 26D2282510
  • Facility Name: MISSOURI CVS PHARMACY, LLC DBS CVS/PHARMACY #08598
  • Facility Address: 9005 EAST 350 HIGHWAY
    RAYTOWN, MO
    ZIP 64133
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY DAVIS
  • NPI Number: 1447294814
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2282510
LAB Type Pharmacy
Facility Name MISSOURI CVS PHARMACY, LLC DBS CVS/PHARMACY #08598
Street 9005 EAST 350 HIGHWAY
City RAYTOWN
State MO
ZIP 64133
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 TIMOTHY DAVIS

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