26D2012542 CLIA NUMBER - WALGREENS #05277

Laboratory Demographics

  • CLIA Code: 26D2012542
  • Facility Name: WALGREENS #05277
  • Facility Address: 1400 E NORTH AVE
    BELTON, MO
    ZIP 64012
  • Facility Phone: 816 322-4177
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: BRYAN R. ANDERSON
  • NPI Number: 1427063445
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012542
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #05277
Street 1400 E NORTH AVE
City BELTON
State MO
ZIP 64012
Phone 816 322-4177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director BRYAN R. ANDERSON

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