16D2012306 CLIA NUMBER - WALGREENS #03700

Laboratory Demographics

  • CLIA Code: 16D2012306
  • Facility Name: WALGREENS #03700
  • Facility Address: 535 EAST BROADWAY
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 712 329-0930
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLEN E. URSO
  • NPI Number: 1871509463
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2012306
LAB Type Pharmacy
Facility Name WALGREENS #03700
Street 535 EAST BROADWAY
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 712 329-0930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director ALLEN E. URSO

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