14D2044663 CLIA NUMBER - WALGREENS #12303

Laboratory Demographics

  • CLIA Code: 14D2044663
  • Facility Name: WALGREENS #12303
  • Facility Address: 5939 BELLEVILLE CROSSING ST
    BELLEVILLE, IL
    ZIP 62226
  • Facility Phone: 618 355-7913
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: STEVEN G. JONES
  • NPI Number: 1407091523
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2044663
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #12303
Street 5939 BELLEVILLE CROSSING ST
City BELLEVILLE
State IL
ZIP 62226
Phone 618 355-7913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director STEVEN G. JONES

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