26D2056262 CLIA NUMBER - WALGREENS #01107

Laboratory Demographics

  • CLIA Code: 26D2056262
  • Facility Name: WALGREENS #01107
  • Facility Address: 2310 MCCAUSLAND AVE
    SAINT LOUIS, MO
    ZIP 63143
  • Facility Phone: 314 647-7820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL BENNETT
  • NPI Number: 1467467605
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056262
LAB Type Pharmacy
Facility Name WALGREENS #01107
Street 2310 MCCAUSLAND AVE
City SAINT LOUIS
State MO
ZIP 63143
Phone 314 647-7820
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 CARL BENNETT

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