26D2056241 CLIA NUMBER - WALGREENS #10429

Laboratory Demographics

  • CLIA Code: 26D2056241
  • Facility Name: WALGREENS #10429
  • Facility Address: 15253 MANCHESTER RD
    BALLWIN, MO
    ZIP 63011
  • Facility Phone: 636 227-5828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREL L. NEAL
  • NPI Number: 1952317497
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056241
LAB Type Pharmacy
Facility Name WALGREENS #10429
Street 15253 MANCHESTER RD
City BALLWIN
State MO
ZIP 63011
Phone 636 227-5828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Pharmacy
Lab Director LAUREL L. NEAL

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