26D2311592 CLIA NUMBER - WALGREENS HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 26D2311592
  • Facility Name: WALGREENS HEALTH SERVICES
  • Facility Address: 1400 E NORTH AVE SUITE 101
    BELTON, MO
    ZIP 64012
  • Facility Phone: 847 315-2500
  • Facility Type: Other - HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: SASHIDARAN M. MOODLEY
  • NPI Number: 1033797188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2311592
LAB Type Other - HEALTH CLINIC
Facility Name WALGREENS HEALTH SERVICES
Street 1400 E NORTH AVE SUITE 101
City BELTON
State MO
ZIP 64012
Phone 847 315-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Other - HEALTH CLINIC
Lab Director SASHIDARAN M. MOODLEY

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