26D2078799 CLIA NUMBER - WALGREENS #15726

Laboratory Demographics

  • CLIA Code: 26D2078799
  • Facility Name: WALGREENS #15726
  • Facility Address: 124 W WASHINGTON
    AVA, MO
    ZIP 65608
  • Facility Phone: 417 683-4127
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAN A. BUTLER
  • NPI Number: 1497785398
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2078799
LAB Type Pharmacy
Facility Name WALGREENS #15726
Street 124 W WASHINGTON
City AVA
State MO
ZIP 65608
Phone 417 683-4127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director ALAN A. BUTLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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