26D2013058 CLIA NUMBER - WALGREENS #06220

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Laboratory Demographics

CLIA Number: 26D2013058

Facility Name: WALGREENS #06220

Facility Address:
3300 BROWN RD
SAINT JOHN, MO
ZIP 63114
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Facility Phone Number: 847 527-4238

Facility Type: Other - COVID-19 TEST SITE

Certificate Type: Waiver

NPI Number: 1538175922

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2013058
LAB Type	Other - COVID-19 TEST SITE
Facility Name	WALGREENS #06220
Street	3300 BROWN RD
City	SAINT JOHN
State	MO
ZIP	63114
Phone	847 527-4238
CertificateType	4
CertificateEffectiveDate	1/11/2023
CertificateExpirationDate	1/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024