26D2056272 CLIA NUMBER - WALGREENS #09713

Laboratory Demographics

  • CLIA Code: 26D2056272
  • Facility Name: WALGREENS #09713
  • Facility Address: 3740 W TRUMAN BLVD
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 573 893-1044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN PILZ
  • NPI Number: 1326055344
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056272
LAB Type Pharmacy
Facility Name WALGREENS #09713
Street 3740 W TRUMAN BLVD
City JEFFERSON CITY
State MO
ZIP 65109
Phone 573 893-1044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director JOHN PILZ

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