26D2012176 CLIA NUMBER - WALGREENS #03690

Laboratory Demographics

  • CLIA Code: 26D2012176
  • Facility Name: WALGREENS #03690
  • Facility Address: 2640 E SUNSHINE ST
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 885-1274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN R. QUICK
  • NPI Number: 1821003070
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012176
LAB Type Pharmacy
Facility Name WALGREENS #03690
Street 2640 E SUNSHINE ST
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 885-1274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director MEGAN R. QUICK

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