26D2056439 CLIA NUMBER - WALGREENS #02901

Laboratory Demographics

  • CLIA Code: 26D2056439
  • Facility Name: WALGREENS #02901
  • Facility Address: 1705 SHACKELFORD RD
    FLORISSANT, MO
    ZIP 63031
  • Facility Phone: 314 831-5559
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE A. GASPAR
  • NPI Number: 1891701363
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056439
LAB Type Pharmacy
Facility Name WALGREENS #02901
Street 1705 SHACKELFORD RD
City FLORISSANT
State MO
ZIP 63031
Phone 314 831-5559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director LESLIE A. GASPAR

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