CLIA lab

CLIA 26D2048223: Pevely RX Inc DBA Medicine Shoppe 1985

Pevely, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D2048223 belongs to Pevely RX Inc DBA Medicine Shoppe 1985 in Pevely, MO.

Certificate of Waiver, effective October 11, 2026, expires October 10, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 11, 2026
Certificate expiration
October 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 11, 2012
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
26D2048223
Lab name
Pevely RX Inc DBA Medicine Shoppe 1985
Address
Jason Wang Pharm D, 8640 Commercial Blvd, Pevely, MO 63070
Phone
(636) 479-6100
Fax
(636) 479-6101

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Pevely RX Inc DBA Medicine Shoppe 1985 in Pevely?

26D2048223, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pevely RX Inc DBA Medicine Shoppe 1985 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D2048223 expire?

The CMS file lists October 10, 2028 as the certificate expiration date; the certificate took effect October 11, 2026.

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