26D1084472 CLIA NUMBER - WALGREENS #15822

Laboratory Demographics

  • CLIA Code: 26D1084472
  • Facility Name: WALGREENS #15822
  • Facility Address: 1142 N DESLOGE DR
    DESLOGE, MO
    ZIP 63601
  • Facility Phone: 573 431-2242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCISCO M. MADRID
  • NPI Number: 1336495373
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1084472
LAB Type Pharmacy
Facility Name WALGREENS #15822
Street 1142 N DESLOGE DR
City DESLOGE
State MO
ZIP 63601
Phone 573 431-2242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director FRANCISCO M. MADRID

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