26D2012535 CLIA NUMBER - WALGREENS #04439

Laboratory Demographics

  • CLIA Code: 26D2012535
  • Facility Name: WALGREENS #04439
  • Facility Address: 1191 W KANSAS ST
    LIBERTY, MO
    ZIP 64068
  • Facility Phone: 816 781-9347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN HERMAN
  • NPI Number: 1063427086
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012535
LAB Type Pharmacy
Facility Name WALGREENS #04439
Street 1191 W KANSAS ST
City LIBERTY
State MO
ZIP 64068
Phone 816 781-9347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director MEGAN HERMAN

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