CLIA lab
CLIA 14D2051408: Walgreens 04602
E St Louis, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2051408 belongs to Walgreens 04602 in E St Louis, IL.
Certificate of Waiver, effective March 5, 2026, expires March 4, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 5, 2026
- Certificate expiration
- March 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2012
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2051408
- Lab name
- Walgreens 04602
- Address
- 2510 State St, E St Louis, IL 62205
- Phone
- (618) 875-5085
- Fax
- (618) 875-7434
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in E St Louis, IL
- Aeges LLCCertificate of Waiver, Physician office14D2283137
- Community Wellness Project, theCertificate of Waiver, Independent14D1075029
- Comprehensive Behavioral Health CenterCertificate of Waiver, Other14D2057324
- Comprehensive Behavioral Health CenterCertificate of Waiver, Ancillary test site14D2317655
- Edgemont DialysisCertificate of Waiver, End stage renal disease dialysis facility14D2151548
Related
Questions
What is the CLIA number for Walgreens 04602 in E St Louis?
14D2051408, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 04602 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2051408 expire?
The CMS file lists March 4, 2028 as the certificate expiration date; the certificate took effect March 5, 2026.