26D2056481 CLIA NUMBER - WALGREENS #06286

Laboratory Demographics

  • CLIA Code: 26D2056481
  • Facility Name: WALGREENS #06286
  • Facility Address: 9495 MEXICO RD
    OFALLON, MO
    ZIP 63366
  • Facility Phone: 636 379-4131
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA HOUSTON
  • NPI Number: 1053694158
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 26D2056481
LAB Type Pharmacy
Facility Name WALGREENS #06286
Street 9495 MEXICO RD
City OFALLON
State MO
ZIP 63366
Phone 636 379-4131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director LISA HOUSTON

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