26D2038828 CLIA NUMBER - WALGREENS #09301

Laboratory Demographics

  • CLIA Code: 26D2038828
  • Facility Name: WALGREENS #09301
  • Facility Address: 299 N MAIN ST
    SIKESTON, MO
    ZIP 63801
  • Facility Phone: 573 471-7048
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. SIMMONS
  • NPI Number: 1720093768
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director WILLIAM S. SIMMONS

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