26D2052993 CLIA NUMBER - WALGREENS #02616

Laboratory Demographics

  • CLIA Code: 26D2052993
  • Facility Name: WALGREENS #02616
  • Facility Address: 455 HIGHWAY 61 N
    HANNIBAL, MO
    ZIP 63401
  • Facility Phone: 573 221-6557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM HORNER
  • NPI Number: 1194730341
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2052993
LAB Type Pharmacy
Facility Name WALGREENS #02616
Street 455 HIGHWAY 61 N
City HANNIBAL
State MO
ZIP 63401
Phone 573 221-6557
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 WILLIAM HORNER

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