26D2056245 CLIA NUMBER - WALGREENS #07762

Laboratory Demographics

  • CLIA Code: 26D2056245
  • Facility Name: WALGREENS #07762
  • Facility Address: 1 GRASSO PLZ
    SAINT LOUIS, MO
    ZIP 63123
  • Facility Phone: 314 631-8800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA M. KING
  • NPI Number: 1447266838
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056245
LAB Type Pharmacy
Facility Name WALGREENS #07762
Street 1 GRASSO PLZ
City SAINT LOUIS
State MO
ZIP 63123
Phone 314 631-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director LISA M. KING

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