26D2053818 CLIA NUMBER - WALGREENS #07743

Laboratory Demographics

  • CLIA Code: 26D2053818
  • Facility Name: WALGREENS #07743
  • Facility Address: 1955 S NATIONAL AVE
    SPRINGFIELD, MO
    ZIP 65804
  • Facility Phone: 417 881-6836
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN M. APPELBAUM
  • NPI Number: 1417964438
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2053818
LAB Type Pharmacy
Facility Name WALGREENS #07743
Street 1955 S NATIONAL AVE
City SPRINGFIELD
State MO
ZIP 65804
Phone 417 881-6836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director KEVIN M. APPELBAUM

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