26D2038814 CLIA NUMBER - WALGREENS #2617

Laboratory Demographics

  • CLIA Code: 26D2038814
  • Facility Name: WALGREENS #2617
  • Facility Address: 2329 WEST CLAY STREET
    ST CHARLES, MO
    ZIP 63301
  • Facility Phone: 636 949-6613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE G. PROKOOF
  • NPI Number: 1356357743
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038814
LAB Type Pharmacy
Facility Name WALGREENS #2617
Street 2329 WEST CLAY STREET
City ST CHARLES
State MO
ZIP 63301
Phone 636 949-6613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director STEPHANIE G. PROKOOF

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