26D2012173 CLIA NUMBER - WALGREENS #03688

Laboratory Demographics

  • CLIA Code: 26D2012173
  • Facility Name: WALGREENS #03688
  • Facility Address: 2951 S CAMPBELL AVE
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 890-7924
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN D. QUICK
  • NPI Number: 1649285891
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012173
LAB Type Pharmacy
Facility Name WALGREENS #03688
Street 2951 S CAMPBELL AVE
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 890-7924
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director SUSAN D. QUICK

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This page was last updated on: 6/4/2025