26D2071007 CLIA NUMBER - WALGREENS #15820

Laboratory Demographics

  • CLIA Code: 26D2071007
  • Facility Name: WALGREENS #15820
  • Facility Address: 605 NORTH MAIN STREET
    IRONTON, MO
    ZIP 63650
  • Facility Phone: 573 546-7915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. BOBBETT
  • NPI Number: 1902152929
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2071007
LAB Type Pharmacy
Facility Name WALGREENS #15820
Street 605 NORTH MAIN STREET
City IRONTON
State MO
ZIP 63650
Phone 573 546-7915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director MICHELLE L. BOBBETT

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