26D2012623 CLIA NUMBER - WALGREENS #09714

Laboratory Demographics

  • CLIA Code: 26D2012623
  • Facility Name: WALGREENS #09714
  • Facility Address: 9978 KENNERLY RD
    SAINT LOUIS, MO
    ZIP 63128
  • Facility Phone: (314) 843-3736
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. YEPEZ
  • NPI Number: 1699713776
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012623
LAB Type Pharmacy
Facility Name WALGREENS #09714
Street 9978 KENNERLY RD
City SAINT LOUIS
State MO
ZIP 63128
Phone 3148433736
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 MICHELLE L. YEPEZ

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This page was last updated on: 5/18/2026