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26D2012539 CLIA NUMBER - WALGREENS #04182

Laboratory Demographics

CLIA Number: 26D2012539

Facility Name: WALGREENS #04182

Facility Address:
1801 E LANGSFORD RD
LEES SUMMIT, MO
ZIP 64063
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Facility Phone Number: 816 554-0403

Facility Type: Other - COVID-19 TEST SITE

Certificate Type: Waiver
NPI Number: 1447265467

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 1/11/2023
CertificateExpirationDate 1/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024