16D2011275 CLIA NUMBER - WALGREENS #07454

Laboratory Demographics

  • CLIA Code: 16D2011275
  • Facility Name: WALGREENS #07454
  • Facility Address: 901 N ANKENY BLVD
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 964-3952
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KASSIDY C. BUTCHER
  • NPI Number: 1700891017
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2011275
LAB Type Pharmacy
Facility Name WALGREENS #07454
Street 901 N ANKENY BLVD
City ANKENY
State IA
ZIP 50023
Phone 515 964-3952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director KASSIDY C. BUTCHER

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