26D2056479 CLIA NUMBER - WALGREENS #10474

Laboratory Demographics

  • CLIA Code: 26D2056479
  • Facility Name: WALGREENS #10474
  • Facility Address: 499 SALT LICK RD
    SAINT PETERS, MO
    ZIP 63376
  • Facility Phone: 636 278-3802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURIE KOVARIK
  • NPI Number: 1144429937
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056479
LAB Type Pharmacy
Facility Name WALGREENS #10474
Street 499 SALT LICK RD
City SAINT PETERS
State MO
ZIP 63376
Phone 636 278-3802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director LAURIE KOVARIK

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