26D2015381 CLIA NUMBER - WALGREENS #09382

Laboratory Demographics

  • CLIA Code: 26D2015381
  • Facility Name: WALGREENS #09382
  • Facility Address: 412 PAWNEE ST
    CLINTON, MO
    ZIP 64735
  • Facility Phone: 660 885-4020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE J. BOLES
  • NPI Number: 1619982642
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2015381
LAB Type Pharmacy
Facility Name WALGREENS #09382
Street 412 PAWNEE ST
City CLINTON
State MO
ZIP 64735
Phone 660 885-4020
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 RENEE J. BOLES

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