26D2191225 CLIA NUMBER - WALGREENS #04530

Laboratory Demographics

  • CLIA Code: 26D2191225
  • Facility Name: WALGREENS #04530
  • Facility Address: 9430 BLUE RIDGE BLVD
    KANSAS CITY, MO
    ZIP 64138
  • Facility Phone: 417 234-9889
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES W. ONONYE
  • NPI Number: 1073528097
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2191225
LAB Type Pharmacy
Facility Name WALGREENS #04530
Street 9430 BLUE RIDGE BLVD
City KANSAS CITY
State MO
ZIP 64138
Phone 417 234-9889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Pharmacy
Lab Director CHARLES W. ONONYE

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This page was last updated on: 6/4/2025