26D2065066 CLIA NUMBER - WALGREENS #015730

Laboratory Demographics

  • CLIA Code: 26D2065066
  • Facility Name: WALGREENS #015730
  • Facility Address: 3222 S MAIN
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 417 624-6300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE M. SIMMONS
  • NPI Number: 1487738522
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2065066
LAB Type Pharmacy
Facility Name WALGREENS #015730
Street 3222 S MAIN
City JOPLIN
State MO
ZIP 64804
Phone 417 624-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director NICOLE M. SIMMONS

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