26D2056280 CLIA NUMBER - WALGREENS #05873

Laboratory Demographics

  • CLIA Code: 26D2056280
  • Facility Name: WALGREENS #05873
  • Facility Address: 17811 E US HIGHWAY 24
    INDEPENDENCE, MO
    ZIP 64056
  • Facility Phone: 816 257-5202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA M. SCOGIN
  • NPI Number: 1184639114
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056280
LAB Type Pharmacy
Facility Name WALGREENS #05873
Street 17811 E US HIGHWAY 24
City INDEPENDENCE
State MO
ZIP 64056
Phone 816 257-5202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director SAMANTHA M. SCOGIN

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