26D2038879 CLIA NUMBER - WALGREENS #11502

Laboratory Demographics

  • CLIA Code: 26D2038879
  • Facility Name: WALGREENS #11502
  • Facility Address: 1260 SPUR DR
    MARSHFIELD, MO
    ZIP 65706
  • Facility Phone: 417 859-5394
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA DWYER
  • NPI Number: 1912156480
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2038879
LAB Type Pharmacy
Facility Name WALGREENS #11502
Street 1260 SPUR DR
City MARSHFIELD
State MO
ZIP 65706
Phone 417 859-5394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director AMANDA DWYER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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