26D2056409 CLIA NUMBER - WALGREENS #12925

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Laboratory Demographics

CLIA Number: 26D2056409

Facility Name: WALGREENS #12925

Facility Address:
2301 RUNNING HORSE RD
PLATTE CITY, MO
ZIP 64079
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Facility Phone Number: 816 431-0327

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124257597

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	26D2056409
LAB Type	Pharmacy
Facility Name	WALGREENS #12925
Street	2301 RUNNING HORSE RD
City	PLATTE CITY
State	MO
ZIP	64079
Phone	816 431-0327
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