26D2038876 CLIA NUMBER - WALGREENS #05288

Laboratory Demographics

  • CLIA Code: 26D2038876
  • Facility Name: WALGREENS #05288
  • Facility Address: 1525 W KEARNEY ST
    SPRINGFIELD, MO
    ZIP 65803
  • Facility Phone: 417 862-4099
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAYUR DAVE
  • NPI Number: 1013924026
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038876
LAB Type Pharmacy
Facility Name WALGREENS #05288
Street 1525 W KEARNEY ST
City SPRINGFIELD
State MO
ZIP 65803
Phone 417 862-4099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director MAYUR DAVE

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