26D2038841 CLIA NUMBER - WALGREENS #07901

Laboratory Demographics

  • CLIA Code: 26D2038841
  • Facility Name: WALGREENS #07901
  • Facility Address: 1050 US HIGHWAY 60 E
    REPUBLIC, MO
    ZIP 65738
  • Facility Phone: 417 732-8246
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FORREST KANE WILSON
  • NPI Number: 1083629018
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038841
LAB Type Pharmacy
Facility Name WALGREENS #07901
Street 1050 US HIGHWAY 60 E
City REPUBLIC
State MO
ZIP 65738
Phone 417 732-8246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director FORREST KANE WILSON

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