26D2056462 CLIA NUMBER - WALGREENS #12778

Laboratory Demographics

  • CLIA Code: 26D2056462
  • Facility Name: WALGREENS #12778
  • Facility Address: 505 S COMMERCIAL ST
    HARRISONVILLE, MO
    ZIP 64701
  • Facility Phone: 816 884-1891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARISSA CHRISTIE
  • NPI Number: 1437389723
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2056462
LAB Type Pharmacy
Facility Name WALGREENS #12778
Street 505 S COMMERCIAL ST
City HARRISONVILLE
State MO
ZIP 64701
Phone 816 884-1891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director CARISSA CHRISTIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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