26D2030465 CLIA NUMBER - WALGREENS #09986

Laboratory Demographics

  • CLIA Code: 26D2030465
  • Facility Name: WALGREENS #09986
  • Facility Address: 311 N BALTIMORE ST
    KIRKSVILLE, MO
    ZIP 63501
  • Facility Phone: 660 665-3063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDRA L. DARR
  • NPI Number: 1396786265
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2030465
LAB Type Pharmacy
Facility Name WALGREENS #09986
Street 311 N BALTIMORE ST
City KIRKSVILLE
State MO
ZIP 63501
Phone 660 665-3063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director SANDRA L. DARR

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