26D2012539 CLIA NUMBER - WALGREENS #04182

Laboratory Demographics

  • CLIA Code: 26D2012539
  • Facility Name: WALGREENS #04182
  • Facility Address: 1801 E LANGSFORD RD
    LEES SUMMIT, MO
    ZIP 64063
  • Facility Phone: 816 554-0403
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: GINIKA E. TAYLOR
  • NPI Number: 1447265467
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012539
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #04182
Street 1801 E LANGSFORD RD
City LEES SUMMIT
State MO
ZIP 64063
Phone 816 554-0403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Other - COVID-19 TEST SITE
Lab Director GINIKA E. TAYLOR

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