26D2056475 CLIA NUMBER - WALGREENS #05974

Laboratory Demographics

  • CLIA Code: 26D2056475
  • Facility Name: WALGREENS #05974
  • Facility Address: 1305 JUNGERMANN RD
    SAINT PETERS, MO
    ZIP 63376
  • Facility Phone: 636 441-0819
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY E. LEYDEN
  • NPI Number: 1891702809
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056475
LAB Type Pharmacy
Facility Name WALGREENS #05974
Street 1305 JUNGERMANN RD
City SAINT PETERS
State MO
ZIP 63376
Phone 636 441-0819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director ASHLEY E. LEYDEN

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