14D2037884 CLIA NUMBER - WALGREENS #03714

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Laboratory Demographics

CLIA Number: 14D2037884

Facility Name: WALGREENS #03714

Facility Address:
2610 STATE ST
ALTON, IL
ZIP 62002
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Facility Phone Number: (618) 444-9979

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1811902026

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	14D2037884
LAB Type	OTHER
Facility Name	WALGREENS #03714
Street	2610 STATE ST
City	ALTON
State	IL
ZIP	62002
Phone	(618) 444-9979

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This page was last updated on: 5/11/2023