26D2056438 CLIA NUMBER - WALGREENS #09436

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Laboratory Demographics

CLIA Number: 26D2056438

Facility Name: WALGREENS #09436

Facility Address:
9807 WATSON RD
CRESTWOOD, MO
ZIP 63126
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Facility Phone Number: 314 966-0605

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811902059

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	26D2056438
LAB Type	Pharmacy
Facility Name	WALGREENS #09436
Street	9807 WATSON RD
City	CRESTWOOD
State	MO
ZIP	63126
Phone	314 966-0605
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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