26D2012557 CLIA NUMBER - WALGREENS #00854

Laboratory Demographics

  • CLIA Code: 26D2012557
  • Facility Name: WALGREENS #00854
  • Facility Address: 5764 S LINDBERGH BLVD
    SAINT LOUIS, MO
    ZIP 63123
  • Facility Phone: 314 842-3372
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ORSON K. JOHNSON
  • NPI Number: 1104831346
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012557
LAB Type Pharmacy
Facility Name WALGREENS #00854
Street 5764 S LINDBERGH BLVD
City SAINT LOUIS
State MO
ZIP 63123
Phone 314 842-3372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director ORSON K. JOHNSON

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