26D2231119 CLIA NUMBER - WALGREENS #21312

Laboratory Demographics

  • CLIA Code: 26D2231119
  • Facility Name: WALGREENS #21312
  • Facility Address: 26 W KARSCH BLVD
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 573 756-6421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN E. KEUTZER
  • NPI Number: 1609122621
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2231119
LAB Type Pharmacy
Facility Name WALGREENS #21312
Street 26 W KARSCH BLVD
City FARMINGTON
State MO
ZIP 63640
Phone 573 756-6421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director KRISTIN E. KEUTZER

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