26D2191225 CLIA NUMBER - WALGREENS #04530

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Laboratory Demographics

CLIA Number: 26D2191225

Facility Name: WALGREENS #04530

Facility Address:
9430 BLUE RIDGE BLVD
KANSAS CITY, MO
ZIP 64138
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Facility Phone Number: 417 234-9889

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073528097

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	9/20/2023
CertificateExpirationDate	9/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024