26D2012560 CLIA NUMBER - WALGREENS #03652

Laboratory Demographics

  • CLIA Code: 26D2012560
  • Facility Name: WALGREENS #03652
  • Facility Address: 1001 BOWLES AVE
    FENTON, MO
    ZIP 63026
  • Facility Phone: 636 343-0754
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. GUHE
  • NPI Number: 1841207859
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012560
LAB Type Pharmacy
Facility Name WALGREENS #03652
Street 1001 BOWLES AVE
City FENTON
State MO
ZIP 63026
Phone 636 343-0754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Pharmacy
Lab Director MICHAEL R. GUHE

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This page was last updated on: 3/20/2025