26D2038884 CLIA NUMBER - WALGREENS #3594

Laboratory Demographics

  • CLIA Code: 26D2038884
  • Facility Name: WALGREENS #3594
  • Facility Address: 210 STATE HIGHWAY 165
    BRANSON, MO
    ZIP 65616
  • Facility Phone: 417 339-3996
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY M. AUMILLER
  • NPI Number: 1912912163
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038884
LAB Type Pharmacy
Facility Name WALGREENS #3594
Street 210 STATE HIGHWAY 165
City BRANSON
State MO
ZIP 65616
Phone 417 339-3996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director ASHLEY M. AUMILLER

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