CLIA lab

CLIA 26D2191544: Hines Street Pharmacy, LLC

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

CLIA number 26D2191544 belongs to Hines Street Pharmacy, LLC in Republic, MO.

Certificate of Waiver, effective August 28, 2026, expires August 27, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 28, 2026
Certificate expiration
August 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 2020
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
26D2191544
Lab name
Hines Street Pharmacy, LLC
Address
1173 E Hines Street, Republic, MO 65738
Phone
(417) 735-0055
Fax
(417) 732-1529

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.

Other labs in Republic, MO

Related

Questions

What is the CLIA number for Hines Street Pharmacy, LLC in Republic?

26D2191544, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hines Street Pharmacy, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D2191544 expire?

The CMS file lists August 27, 2028 as the certificate expiration date; the certificate took effect August 28, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.