26D2056478 CLIA NUMBER - WALGREENS #06059

Laboratory Demographics

  • CLIA Code: 26D2056478
  • Facility Name: WALGREENS #06059
  • Facility Address: 1003 WOLFRUM RD
    WELDON SPRING, MO
    ZIP 63304
  • Facility Phone: 636 300-0158
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THIENLONG H VU
  • NPI Number: 1700893716
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056478
LAB Type Pharmacy
Facility Name WALGREENS #06059
Street 1003 WOLFRUM RD
City WELDON SPRING
State MO
ZIP 63304
Phone 636 300-0158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director THIENLONG H VU

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