26D2046410 CLIA NUMBER - WALGREENS #05146

Laboratory Demographics

  • CLIA Code: 26D2046410
  • Facility Name: WALGREENS #05146
  • Facility Address: 1000 CLUB VILLAGE DR
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 449-8330
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: RICHARD ANDERSON
  • NPI Number: 1932483484
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2046410
LAB Type Other - COVID TESTING
Facility Name WALGREENS #05146
Street 1000 CLUB VILLAGE DR
City COLUMBIA
State MO
ZIP 65203
Phone 573 449-8330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Other - COVID TESTING
Lab Director RICHARD ANDERSON

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