26D2050950 CLIA NUMBER - WALGREENS #6024

Laboratory Demographics

  • CLIA Code: 26D2050950
  • Facility Name: WALGREENS #6024
  • Facility Address: 9320 LACKLAND ROAD
    OVERLAND, MO
    ZIP 63114
  • Facility Phone: 314 429-4636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVE A. GRANT
  • NPI Number: 1285649426
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2050950
LAB Type Pharmacy
Facility Name WALGREENS #6024
Street 9320 LACKLAND ROAD
City OVERLAND
State MO
ZIP 63114
Phone 314 429-4636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director STEVE A. GRANT

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