26D2038828 CLIA NUMBER - WALGREENS #09301

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Laboratory Demographics

CLIA Number: 26D2038828

Facility Name: WALGREENS #09301

Facility Address:
299 N MAIN ST
SIKESTON, MO
ZIP 63801
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Facility Phone Number: 573 471-7048

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1720093768

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2038828
LAB Type	Pharmacy
Facility Name	WALGREENS #09301
Street	299 N MAIN ST
City	SIKESTON
State	MO
ZIP	63801
Phone	573 471-7048
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024