26D2290185 CLIA NUMBER - WALGREENS 15732

Laboratory Demographics

  • CLIA Code: 26D2290185
  • Facility Name: WALGREENS 15732
  • Facility Address: 214 S MAIN ST
    SEYMOUR, MO
    ZIP 65746
  • Facility Phone: 417 935-4900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD L. BRANTNER
  • NPI Number: 1508902974
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2290185
LAB Type Pharmacy
Facility Name WALGREENS 15732
Street 214 S MAIN ST
City SEYMOUR
State MO
ZIP 65746
Phone 417 935-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director RICHARD L. BRANTNER

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