26D2056287 CLIA NUMBER - WALGREENS #01273

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Laboratory Demographics

CLIA Number: 26D2056287

Facility Name: WALGREENS #01273

Facility Address:
1391 BIG BEND RD
BALLWIN, MO
ZIP 63021
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Facility Phone Number: 636 861-1988

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831104082

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2056287
LAB Type	Pharmacy
Facility Name	WALGREENS #01273
Street	1391 BIG BEND RD
City	BALLWIN
State	MO
ZIP	63021
Phone	636 861-1988
CertificateType	4
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024