26D2012635 CLIA NUMBER - WALGREENS #04970

Laboratory Demographics

  • CLIA Code: 26D2012635
  • Facility Name: WALGREENS #04970
  • Facility Address: 2310 S OLD HIGHWAY 94
    SAINT CHARLES, MO
    ZIP 63303
  • Facility Phone: 636 477-7996
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IRENE PUNDMANN
  • NPI Number: 1346255361
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012635
LAB Type Pharmacy
Facility Name WALGREENS #04970
Street 2310 S OLD HIGHWAY 94
City SAINT CHARLES
State MO
ZIP 63303
Phone 636 477-7996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director IRENE PUNDMANN

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