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26D2012542 CLIA NUMBER - WALGREENS #05277

Laboratory Demographics

CLIA Number: 26D2012542

Facility Name: WALGREENS #05277

Facility Address:
1400 E NORTH AVE
BELTON, MO
ZIP 64012
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Facility Phone Number: 816 322-4177

Facility Type: Other - COVID-19 TEST SITE

Certificate Type: Waiver
NPI Number: 1427063445

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 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
CertificateType 4
CertificateEffectiveDate 12/17/2022
CertificateExpirationDate 12/16/2024
FacilityType Waiver

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