26D2038887 CLIA NUMBER - WALGREENS #01142

Laboratory Demographics

  • CLIA Code: 26D2038887
  • Facility Name: WALGREENS #01142
  • Facility Address: 3938 OSAGE BEACH PKWY
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 573 348-5081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN L. LUCAS
  • NPI Number: 1548275589
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038887
LAB Type Pharmacy
Facility Name WALGREENS #01142
Street 3938 OSAGE BEACH PKWY
City OSAGE BEACH
State MO
ZIP 65065
Phone 573 348-5081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director ERIN L. LUCAS

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