26D2056486 CLIA NUMBER - WALGREENS #03687

Laboratory Demographics

  • CLIA Code: 26D2056486
  • Facility Name: WALGREENS #03687
  • Facility Address: 4492 CENTRAL SCHOOL RD
    SAINT PETERS, MO
    ZIP 63304
  • Facility Phone: 636 936-8744
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMIE T. PECAUT
  • NPI Number: 1629083647
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2056486
LAB Type Pharmacy
Facility Name WALGREENS #03687
Street 4492 CENTRAL SCHOOL RD
City SAINT PETERS
State MO
ZIP 63304
Phone 636 936-8744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2023
Certificate Expiration Date 6/20/2025
Facility Type Pharmacy
Lab Director AMIE T. PECAUT

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This page was last updated on: 3/20/2025