26D2012632 CLIA NUMBER - WALGREENS #04584

Laboratory Demographics

  • CLIA Code: 26D2012632
  • Facility Name: WALGREENS #04584
  • Facility Address: 1993 WENTZVILLE PKWY
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 332-6217
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. ZWILLING
  • NPI Number: 1083629000
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2012632
LAB Type Pharmacy
Facility Name WALGREENS #04584
Street 1993 WENTZVILLE PKWY
City WENTZVILLE
State MO
ZIP 63385
Phone 636 332-6217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director ELIZABETH A. ZWILLING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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