26D2056484 CLIA NUMBER - WALGREENS #04866

Laboratory Demographics

  • CLIA Code: 26D2056484
  • Facility Name: WALGREENS #04866
  • Facility Address: 15390 NEW HALLS FERRY RD
    FLORISSANT, MO
    ZIP 63031
  • Facility Phone: 314 831-9916
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHENS CHANDLER
  • NPI Number: 1487661492
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056484
LAB Type Pharmacy
Facility Name WALGREENS #04866
Street 15390 NEW HALLS FERRY RD
City FLORISSANT
State MO
ZIP 63031
Phone 314 831-9916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director STEPHENS CHANDLER

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