26D2012987 CLIA NUMBER - WALGREENS #02501

Laboratory Demographics

  • CLIA Code: 26D2012987
  • Facility Name: WALGREENS #02501
  • Facility Address: 12345 ST CHARLES ROCK RD
    BRIDGETON, MO
    ZIP 63044
  • Facility Phone: 314 770-2479
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES A. STALEY
  • NPI Number: 1477568624
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2012987
LAB Type Pharmacy
Facility Name WALGREENS #02501
Street 12345 ST CHARLES ROCK RD
City BRIDGETON
State MO
ZIP 63044
Phone 314 770-2479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director JAMES A. STALEY

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