26D2030462 CLIA NUMBER - WALGREENS #10153

Laboratory Demographics

  • CLIA Code: 26D2030462
  • Facility Name: WALGREENS #10153
  • Facility Address: 110 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 776-1476
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLEY DICKEY
  • NPI Number: 1679676662
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2030462
LAB Type Pharmacy
Facility Name WALGREENS #10153
Street 110 N WESTWOOD BLVD
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 776-1476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director KIMBERLEY DICKEY

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