26D1069812 CLIA NUMBER - WALGREENS #04406

Laboratory Demographics

  • CLIA Code: 26D1069812
  • Facility Name: WALGREENS #04406
  • Facility Address: 2630 NE VIVION RD
    KANSAS CITY, MO
    ZIP 64119
  • Facility Phone: 816 459-7175
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN BEHM
  • NPI Number: 1982619904
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1069812
LAB Type Pharmacy
Facility Name WALGREENS #04406
Street 2630 NE VIVION RD
City KANSAS CITY
State MO
ZIP 64119
Phone 816 459-7175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director RYAN BEHM

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