26D2217626 CLIA NUMBER - WALGREENS #15800

Laboratory Demographics

  • CLIA Code: 26D2217626
  • Facility Name: WALGREENS #15800
  • Facility Address: 904 W BUSINESS US HIGHWAY 60
    DEXTER, MO
    ZIP 63841
  • Facility Phone: 573 624-7452
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM W. SIMMONS
  • NPI Number: 1366544702
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2217626
LAB Type Pharmacy
Facility Name WALGREENS #15800
Street 904 W BUSINESS US HIGHWAY 60
City DEXTER
State MO
ZIP 63841
Phone 573 624-7452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director WILLIAM W. SIMMONS

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