26D2056457 CLIA NUMBER - WALGREENS #04220

Laboratory Demographics

  • CLIA Code: 26D2056457
  • Facility Name: WALGREENS #04220
  • Facility Address: 14950 CLAYTON RD
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 636 527-7873
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA S. VU
  • NPI Number: 1164439170
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056457
LAB Type Pharmacy
Facility Name WALGREENS #04220
Street 14950 CLAYTON RD
City CHESTERFIELD
State MO
ZIP 63017
Phone 636 527-7873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director JESSICA S. VU

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