26D2056276 CLIA NUMBER - WALGREENS #06350

Laboratory Demographics

  • CLIA Code: 26D2056276
  • Facility Name: WALGREENS #06350
  • Facility Address: 9395 OLIVE BLVD
    OLIVETTE, MO
    ZIP 63132
  • Facility Phone: 314 432-8660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINEL HALILOVIC
  • NPI Number: 1902811144
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056276
LAB Type Pharmacy
Facility Name WALGREENS #06350
Street 9395 OLIVE BLVD
City OLIVETTE
State MO
ZIP 63132
Phone 314 432-8660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director MINEL HALILOVIC

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