26D1100830 CLIA NUMBER - WALGREENS #11375

Laboratory Demographics

  • CLIA Code: 26D1100830
  • Facility Name: WALGREENS #11375
  • Facility Address: 1718 W JESSE JAMES RD
    EXCELSIOR SPRINGS, MO
    ZIP 64024
  • Facility Phone: 816 637-2537
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOE ANDERSON
  • NPI Number: 1316187289
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1100830
LAB Type Pharmacy
Facility Name WALGREENS #11375
Street 1718 W JESSE JAMES RD
City EXCELSIOR SPRINGS
State MO
ZIP 64024
Phone 816 637-2537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director JOE ANDERSON

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