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26D2226144 CLIA NUMBER - WALGREENS #15265

Laboratory Demographics

CLIA Number: 26D2226144

Facility Name: WALGREENS #15265

Facility Address:
8390 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63124
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Facility Phone Number: 314 991-3402

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1972519437

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 26D2226144
LAB Type Pharmacy
Facility Name WALGREENS #15265
Street 8390 DELMAR BLVD
City SAINT LOUIS
State MO
ZIP 63124
Phone 314 991-3402
CertificateType 4
CertificateEffectiveDate 5/26/2023
CertificateExpirationDate 5/25/2025
FacilityType Waiver

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