26D2038840 CLIA NUMBER - WALGREENS #10907

Laboratory Demographics

  • CLIA Code: 26D2038840
  • Facility Name: WALGREENS #10907
  • Facility Address: 1410 N BLUFF ST
    FULTON, MO
    ZIP 65251
  • Facility Phone: 573 592-7030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARBARA J. HAUCK
  • NPI Number: 1417131160
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038840
LAB Type Pharmacy
Facility Name WALGREENS #10907
Street 1410 N BLUFF ST
City FULTON
State MO
ZIP 65251
Phone 573 592-7030
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 BARBARA J. HAUCK

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