26D2038837 CLIA NUMBER - WALGREENS #10540

Laboratory Demographics

  • CLIA Code: 26D2038837
  • Facility Name: WALGREENS #10540
  • Facility Address: 12977 STATE ROUTE 21
    DE SOTO, MO
    ZIP 63020
  • Facility Phone: 636 586-8779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BLAKE A. STEIGHORST
  • NPI Number: 1457541427
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038837
LAB Type Pharmacy
Facility Name WALGREENS #10540
Street 12977 STATE ROUTE 21
City DE SOTO
State MO
ZIP 63020
Phone 636 586-8779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director BLAKE A. STEIGHORST

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