26D2056482 CLIA NUMBER - WALGREENS #06493

Laboratory Demographics

  • CLIA Code: 26D2056482
  • Facility Name: WALGREENS #06493
  • Facility Address: 3497 TECHNOLOGY DRIVE
    LAKE SAINT LOUIS, MO
    ZIP 63367
  • Facility Phone: 636 625-0691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIAKISHA V. JOHNSON
  • NPI Number: 1306923917
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2056482
LAB Type Pharmacy
Facility Name WALGREENS #06493
Street 3497 TECHNOLOGY DRIVE
City LAKE SAINT LOUIS
State MO
ZIP 63367
Phone 636 625-0691
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 NIAKISHA V. JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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