16D2012472 CLIA NUMBER - WALGREENS #03875

Laboratory Demographics

  • CLIA Code: 16D2012472
  • Facility Name: WALGREENS #03875
  • Facility Address: 2821 1ST AVENUE SE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 365-6306
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE S. LUERKENS
  • NPI Number: 1609881911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2012472
LAB Type Pharmacy
Facility Name WALGREENS #03875
Street 2821 1ST AVENUE SE
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 365-6306
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 LEANNE S. LUERKENS

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