26D2056369 CLIA NUMBER - WALGREENS #05513

Home > CLIA Lookup > 26D2056369

Laboratory Demographics

CLIA Number: 26D2056369

Facility Name: WALGREENS #05513

Facility Address:
11590 GRAVOIS ROAD
SAINT LOUIS, MO
ZIP 63126
Get Directions

Facility Phone Number: 314 849-6348

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1528075538

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	26D2056369
LAB Type	Pharmacy
Facility Name	WALGREENS #05513
Street	11590 GRAVOIS ROAD
City	SAINT LOUIS
State	MO
ZIP	63126
Phone	314 849-6348
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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