26D2039745 CLIA NUMBER - WALGREENS #04989

Laboratory Demographics

  • CLIA Code: 26D2039745
  • Facility Name: WALGREENS #04989
  • Facility Address: 2681 W REPUBLIC RD
    SPRINGFIELD, MO
    ZIP 65807
  • Facility Phone: 417 877-8540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA R. HARRIS
  • NPI Number: 1831106848
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2039745
LAB Type Pharmacy
Facility Name WALGREENS #04989
Street 2681 W REPUBLIC RD
City SPRINGFIELD
State MO
ZIP 65807
Phone 417 877-8540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Pharmacy
Lab Director AMANDA R. HARRIS

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This page was last updated on: 3/20/2025