26D2012614 CLIA NUMBER - WALGREENS #05058

Laboratory Demographics

  • CLIA Code: 26D2012614
  • Facility Name: WALGREENS #05058
  • Facility Address: 776 JEFFCO BLVD
    ARNOLD, MO
    ZIP 63010
  • Facility Phone: 636 296-9490
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA PAYNE
  • NPI Number: 1568477719
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012614
LAB Type Pharmacy
Facility Name WALGREENS #05058
Street 776 JEFFCO BLVD
City ARNOLD
State MO
ZIP 63010
Phone 636 296-9490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director LISA PAYNE

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