16D2011268 CLIA NUMBER - WALGREENS #03773

Laboratory Demographics

  • CLIA Code: 16D2011268
  • Facility Name: WALGREENS #03773
  • Facility Address: 4600 86TH STREET
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 515 252-7355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN C. OLSON
  • NPI Number: 1689680068
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2011268
LAB Type Pharmacy
Facility Name WALGREENS #03773
Street 4600 86TH STREET
City URBANDALE
State IA
ZIP 50322
Phone 515 252-7355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director KEVIN C. OLSON

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