14D2015082 CLIA NUMBER - WALGREENS # 03633

Laboratory Demographics

  • CLIA Code: 14D2015082
  • Facility Name: WALGREENS # 03633
  • Facility Address: 4000 AVENUE OF THE CITIES
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 309 797-2588
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: CRAIG FORD
  • NPI Number: 1407863400
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015082
LAB Type Other - COVID TESTING
Facility Name WALGREENS # 03633
Street 4000 AVENUE OF THE CITIES
City MOLINE
State IL
ZIP 61265
Phone 309 797-2588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Other - COVID TESTING
Lab Director CRAIG FORD

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