26D2056477 CLIA NUMBER - WALGREENS #11311

Laboratory Demographics

  • CLIA Code: 26D2056477
  • Facility Name: WALGREENS #11311
  • Facility Address: 1053 MEYER RD
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 332-2443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE A. RACHAS
  • NPI Number: 1326225277
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056477
LAB Type Pharmacy
Facility Name WALGREENS #11311
Street 1053 MEYER RD
City WENTZVILLE
State MO
ZIP 63385
Phone 636 332-2443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Pharmacy
Lab Director STEPHANIE A. RACHAS

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