26D2038889 CLIA NUMBER - WALGREENS #12713

Laboratory Demographics

  • CLIA Code: 26D2038889
  • Facility Name: WALGREENS #12713
  • Facility Address: 1605 W 7TH ST
    JOPLIN, MO
    ZIP 64801
  • Facility Phone: 417 659-8453
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN DAHN
  • NPI Number: 1245462985
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2038889
LAB Type Pharmacy
Facility Name WALGREENS #12713
Street 1605 W 7TH ST
City JOPLIN
State MO
ZIP 64801
Phone 417 659-8453
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 RYAN DAHN

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