26D2038827 CLIA NUMBER - WALGREENS #05666

Laboratory Demographics

  • CLIA Code: 26D2038827
  • Facility Name: WALGREENS #05666
  • Facility Address: 4535 HUNTER LN
    HOUSE SPRINGS, MO
    ZIP 63051
  • Facility Phone: 636 375-3656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA C C. BAUMANN
  • NPI Number: 1528073558
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038827
LAB Type Pharmacy
Facility Name WALGREENS #05666
Street 4535 HUNTER LN
City HOUSE SPRINGS
State MO
ZIP 63051
Phone 636 375-3656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director AMANDA C C. BAUMANN

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