26D2012533 CLIA NUMBER - WALGREENS #04235

Laboratory Demographics

  • CLIA Code: 26D2012533
  • Facility Name: WALGREENS #04235
  • Facility Address: 7500 WORNALL RD
    KANSAS CITY, MO
    ZIP 64114
  • Facility Phone: 816 444-4179
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHEONNA MAI CHAU
  • NPI Number: 1700891728
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012533
LAB Type Pharmacy
Facility Name WALGREENS #04235
Street 7500 WORNALL RD
City KANSAS CITY
State MO
ZIP 64114
Phone 816 444-4179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director PHEONNA MAI CHAU

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