16D2011282 CLIA NUMBER - WALGREENS #09708

Laboratory Demographics

  • CLIA Code: 16D2011282
  • Facility Name: WALGREENS #09708
  • Facility Address: 55 JOHN F KENNEDY ROAD
    DUBUQUE, IA
    ZIP 52002
  • Facility Phone: 563 556-3705
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIKE A. FROMMELT
  • NPI Number: 1184639494
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2011282
LAB Type Pharmacy
Facility Name WALGREENS #09708
Street 55 JOHN F KENNEDY ROAD
City DUBUQUE
State IA
ZIP 52002
Phone 563 556-3705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director MIKE A. FROMMELT

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