26D2012610 CLIA NUMBER - WALGREENS #04972

Laboratory Demographics

  • CLIA Code: 26D2012610
  • Facility Name: WALGREENS #04972
  • Facility Address: 3937 VOGEL RD
    ARNOLD, MO
    ZIP 63010
  • Facility Phone: 636 282-7068
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. WILLIAMSON
  • NPI Number: 1295742203
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012610
LAB Type Pharmacy
Facility Name WALGREENS #04972
Street 3937 VOGEL RD
City ARNOLD
State MO
ZIP 63010
Phone 636 282-7068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Pharmacy
Lab Director KIMBERLY A. WILLIAMSON

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