26D2038830 CLIA NUMBER - WALGREENS #10587

Laboratory Demographics

  • CLIA Code: 26D2038830
  • Facility Name: WALGREENS #10587
  • Facility Address: 101 N WESTERN ST
    MEXICO, MO
    ZIP 65265
  • Facility Phone: 573 581-3353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER P. MURDOCK
  • NPI Number: 1073644407
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038830
LAB Type Pharmacy
Facility Name WALGREENS #10587
Street 101 N WESTERN ST
City MEXICO
State MO
ZIP 65265
Phone 573 581-3353
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 CHRISTOPHER P. MURDOCK

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