26D2039746 CLIA NUMBER - WALGREENS #10908

Laboratory Demographics

  • CLIA Code: 26D2039746
  • Facility Name: WALGREENS #10908
  • Facility Address: 6 S PERRYVILLE BLVD
    PERRYVILLE, MO
    ZIP 63775
  • Facility Phone: 573 517-0029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS DOHERTY
  • NPI Number: 1134310113
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2039746
LAB Type Pharmacy
Facility Name WALGREENS #10908
Street 6 S PERRYVILLE BLVD
City PERRYVILLE
State MO
ZIP 63775
Phone 573 517-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director NICHOLAS DOHERTY

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