16D2011276 CLIA NUMBER - WALGREENS #00910

Laboratory Demographics

  • CLIA Code: 16D2011276
  • Facility Name: WALGREENS #00910
  • Facility Address: 100 PIERCE STREET
    SIOUX CITY, IA
    ZIP 51101
  • Facility Phone: 712 252-4669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA R. HEUMILLER
  • NPI Number: 1275548588
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2011276
LAB Type Pharmacy
Facility Name WALGREENS #00910
Street 100 PIERCE STREET
City SIOUX CITY
State IA
ZIP 51101
Phone 712 252-4669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director CHRISTINA R. HEUMILLER

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