26D2038886 CLIA NUMBER - WALGREENS #09467

Laboratory Demographics

  • CLIA Code: 26D2038886
  • Facility Name: WALGREENS #09467
  • Facility Address: 880 S NEOSHO BLVD
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 451-1535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STANLEY B. MARION
  • NPI Number: 1639184674
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038886
LAB Type Pharmacy
Facility Name WALGREENS #09467
Street 880 S NEOSHO BLVD
City NEOSHO
State MO
ZIP 64850
Phone 417 451-1535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director STANLEY B. MARION

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