26D2027305 CLIA NUMBER - WALGREENS #11925

Laboratory Demographics

  • CLIA Code: 26D2027305
  • Facility Name: WALGREENS #11925
  • Facility Address: 400 S BROADWAY
    OAK GROVE, MO
    ZIP 64075
  • Facility Phone: 816 625-3578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NILESH PATEL
  • NPI Number: 1518120146
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2027305
LAB Type Pharmacy
Facility Name WALGREENS #11925
Street 400 S BROADWAY
City OAK GROVE
State MO
ZIP 64075
Phone 816 625-3578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director NILESH PATEL

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