26D2038826 CLIA NUMBER - WALGREENS #10377

Laboratory Demographics

  • CLIA Code: 26D2038826
  • Facility Name: WALGREENS #10377
  • Facility Address: 1711 NORTH MORLEY ST
    MOBERLY, MO
    ZIP 65270
  • Facility Phone: 660 263-0793
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY L. RAE
  • NPI Number: 1962562058
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038826
LAB Type Pharmacy
Facility Name WALGREENS #10377
Street 1711 NORTH MORLEY ST
City MOBERLY
State MO
ZIP 65270
Phone 660 263-0793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director GARY L. RAE

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