26D2054769 CLIA NUMBER - WALGREENS #07789

Laboratory Demographics

  • CLIA Code: 26D2054769
  • Facility Name: WALGREENS #07789
  • Facility Address: 3200 SW STATE ROUTE 7
    BLUE SPRINGS, MO
    ZIP 64014
  • Facility Phone: 816 220-8455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY WILSON
  • NPI Number: 1265447296
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2054769
LAB Type Pharmacy
Facility Name WALGREENS #07789
Street 3200 SW STATE ROUTE 7
City BLUE SPRINGS
State MO
ZIP 64014
Phone 816 220-8455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director GREGORY WILSON

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