26D2039211 CLIA NUMBER - WALGREENS #09420

Laboratory Demographics

  • CLIA Code: 26D2039211
  • Facility Name: WALGREENS #09420
  • Facility Address: 2737 GRAND AVE
    CARTHAGE, MO
    ZIP 64836
  • Facility Phone: 417 358-4321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN KELLENBERGER
  • NPI Number: 1366457301
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2039211
LAB Type Pharmacy
Facility Name WALGREENS #09420
Street 2737 GRAND AVE
City CARTHAGE
State MO
ZIP 64836
Phone 417 358-4321
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 LAUREN KELLENBERGER

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