26D2044776 CLIA NUMBER - WALGREENS #06155

Laboratory Demographics

  • CLIA Code: 26D2044776
  • Facility Name: WALGREENS #06155
  • Facility Address: 100 PLAZA DR
    WILDWOOD, MO
    ZIP 63040
  • Facility Phone: 636 273-5206
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOEL D. TINT
  • NPI Number: 1457366494
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2044776
LAB Type Pharmacy
Facility Name WALGREENS #06155
Street 100 PLAZA DR
City WILDWOOD
State MO
ZIP 63040
Phone 636 273-5206
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 NOEL D. TINT

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This page was last updated on: 6/4/2025