26D2013048 CLIA NUMBER - WALGREENS #05145

Laboratory Demographics

  • CLIA Code: 26D2013048
  • Facility Name: WALGREENS #05145
  • Facility Address: 222 E BROADWAY
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 874-3562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH M. ALLEN
  • NPI Number: 1952317380
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2013048
LAB Type Pharmacy
Facility Name WALGREENS #05145
Street 222 E BROADWAY
City COLUMBIA
State MO
ZIP 65203
Phone 573 874-3562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director SARAH M. ALLEN

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