26D2035347 CLIA NUMBER - WALGREENS #15821

Laboratory Demographics

  • CLIA Code: 26D2035347
  • Facility Name: WALGREENS #15821
  • Facility Address: 903 BENHAM ST
    BONNE TERRE, MO
    ZIP 63628
  • Facility Phone: 573 358-3311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HENRY VAUGHN
  • NPI Number: 1326394362
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2035347
LAB Type Pharmacy
Facility Name WALGREENS #15821
Street 903 BENHAM ST
City BONNE TERRE
State MO
ZIP 63628
Phone 573 358-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director HENRY VAUGHN

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