26D2063064 CLIA NUMBER - WALGREENS #15826

Laboratory Demographics

  • CLIA Code: 26D2063064
  • Facility Name: WALGREENS #15826
  • Facility Address: 304 E MAIN ST
    LINN, MO
    ZIP 65051
  • Facility Phone: 573 897-4140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KWIN J. DUDENHOEFFER
  • NPI Number: 1659627677
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2063064
LAB Type Pharmacy
Facility Name WALGREENS #15826
Street 304 E MAIN ST
City LINN
State MO
ZIP 65051
Phone 573 897-4140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director KWIN J. DUDENHOEFFER

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