26D2056348 CLIA NUMBER - WALGREENS #05285

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Laboratory Demographics

CLIA Number: 26D2056348

Facility Name: WALGREENS #05285

Facility Address:
5050 LEMAY FERRY RD
SAINT LOUIS, MO
ZIP 63129
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Facility Phone Number: 314 416-1539

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1083621098

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	26D2056348
LAB Type	Prison
Facility Name	WALGREENS #05285
Street	5050 LEMAY FERRY RD
City	SAINT LOUIS
State	MO
ZIP	63129
Phone	314 416-1539
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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