16D2011280 CLIA NUMBER - WALGREENS #05239

Laboratory Demographics

  • CLIA Code: 16D2011280
  • Facility Name: WALGREENS #05239
  • Facility Address: 1660 W LOCUST STREET
    DAVENPORT, IA
    ZIP 52804
  • Facility Phone: 563 324-3508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOAH E. AYIKA
  • NPI Number: 1447265756
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2011280
LAB Type Pharmacy
Facility Name WALGREENS #05239
Street 1660 W LOCUST STREET
City DAVENPORT
State IA
ZIP 52804
Phone 563 324-3508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director NOAH E. AYIKA

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