26D1009674 CLIA NUMBER - WALGREENS #15827

Laboratory Demographics

  • CLIA Code: 26D1009674
  • Facility Name: WALGREENS #15827
  • Facility Address: 6 E SPRINGFIELD RD
    SULLIVAN, MO
    ZIP 63080
  • Facility Phone: 573 468-6464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE K. SCOTT
  • NPI Number: 1407102106
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1009674
LAB Type Pharmacy
Facility Name WALGREENS #15827
Street 6 E SPRINGFIELD RD
City SULLIVAN
State MO
ZIP 63080
Phone 573 468-6464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director DANIELLE K. SCOTT

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