26D2038881 CLIA NUMBER - WALGREENS #15054

Laboratory Demographics

  • CLIA Code: 26D2038881
  • Facility Name: WALGREENS #15054
  • Facility Address: 124 W 2ND ST
    MOUNTAIN VIEW, MO
    ZIP 65548
  • Facility Phone: 417 934-2023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHARON K. LUNZ
  • NPI Number: 1508174095
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038881
LAB Type Pharmacy
Facility Name WALGREENS #15054
Street 124 W 2ND ST
City MOUNTAIN VIEW
State MO
ZIP 65548
Phone 417 934-2023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Pharmacy
Lab Director SHARON K. LUNZ

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