26D2038831 CLIA NUMBER - WALGREENS #11422

Laboratory Demographics

  • CLIA Code: 26D2038831
  • Facility Name: WALGREENS #11422
  • Facility Address: 4650 HIGHWAY K
    O FALLON, MO
    ZIP 63368
  • Facility Phone: 636 329-9163
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIE A. HOSELTON
  • NPI Number: 1447428347
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038831
LAB Type Pharmacy
Facility Name WALGREENS #11422
Street 4650 HIGHWAY K
City O FALLON
State MO
ZIP 63368
Phone 636 329-9163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director NATALIE A. HOSELTON

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