26D2062182 CLIA NUMBER - WALGREENS #11744

Laboratory Demographics

  • CLIA Code: 26D2062182
  • Facility Name: WALGREENS #11744
  • Facility Address: 1302 CLARKSON CLAYTON CTR
    ELLISVILLE, MO
    ZIP 63011
  • Facility Phone: 636 394-4422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHANDRA K. LANCIA
  • NPI Number: 1912912155
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2062182
LAB Type Pharmacy
Facility Name WALGREENS #11744
Street 1302 CLARKSON CLAYTON CTR
City ELLISVILLE
State MO
ZIP 63011
Phone 636 394-4422
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 CHANDRA K. LANCIA

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