14D2037884 CLIA NUMBER - WALGREENS #03714

Laboratory Demographics

  • CLIA Code: 14D2037884
  • Facility Name: WALGREENS #03714
  • Facility Address: 2610 STATE ST
    ALTON, IL
    ZIP 62002
  • Facility Phone: 618 444-9979
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. MEADOR
  • NPI Number: 1811902026
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2037884
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #03714
Street 2610 STATE ST
City ALTON
State IL
ZIP 62002
Phone 618 444-9979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director KIMBERLY M. MEADOR

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