26D2056395 CLIA NUMBER - WALGREENS #07692

Laboratory Demographics

  • CLIA Code: 26D2056395
  • Facility Name: WALGREENS #07692
  • Facility Address: 97 LONG RD
    CHESTERFIELD, MO
    ZIP 63005
  • Facility Phone: 636 519-7014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSEY OSTRANDER
  • NPI Number: 1275548216
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056395
LAB Type Pharmacy
Facility Name WALGREENS #07692
Street 97 LONG RD
City CHESTERFIELD
State MO
ZIP 63005
Phone 636 519-7014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director KELSEY OSTRANDER

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