16D2011273 CLIA NUMBER - WALGREENS #07453

Laboratory Demographics

  • CLIA Code: 16D2011273
  • Facility Name: WALGREENS #07453
  • Facility Address: 104 E EUCLID AVE
    DES MOINES, IA
    ZIP 50313
  • Facility Phone: 515 243-0601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER M. SHUBERT
  • NPI Number: 1982619292
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2011273
LAB Type Pharmacy
Facility Name WALGREENS #07453
Street 104 E EUCLID AVE
City DES MOINES
State IA
ZIP 50313
Phone 515 243-0601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Pharmacy
Lab Director CHRISTOPHER M. SHUBERT

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