26D2056454 CLIA NUMBER - WALGREENS #01236

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Laboratory Demographics

CLIA Number: 26D2056454

Facility Name: WALGREENS #01236

Facility Address:
13000 S US HIGHWAY 71
GRANDVIEW, MO
ZIP 64030
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Facility Phone Number: 816 765-5949

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992710933

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	26D2056454
LAB Type	Pharmacy
Facility Name	WALGREENS #01236
Street	13000 S US HIGHWAY 71
City	GRANDVIEW
State	MO
ZIP	64030
Phone	816 765-5949
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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