26D2056407 CLIA NUMBER - WALGREENS #11087

Laboratory Demographics

  • CLIA Code: 26D2056407
  • Facility Name: WALGREENS #11087
  • Facility Address: 1214 W FOXWOOD DRIVE
    RAYMORE, MO
    ZIP 64083
  • Facility Phone: 816 331-1410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERONE CAHILL
  • NPI Number: 1750572806
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056407
LAB Type Pharmacy
Facility Name WALGREENS #11087
Street 1214 W FOXWOOD DRIVE
City RAYMORE
State MO
ZIP 64083
Phone 816 331-1410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director JERONE CAHILL

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