16D2012473 CLIA NUMBER - WALGREENS #05042

Laboratory Demographics

  • CLIA Code: 16D2012473
  • Facility Name: WALGREENS #05042
  • Facility Address: 3325 16TH AVENUE SW
    CEDAR RAPIDS, IA
    ZIP 52404
  • Facility Phone: 319 221-1498
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BONNIE S. BEENER
  • NPI Number: 1336154657
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2012473
LAB Type Pharmacy
Facility Name WALGREENS #05042
Street 3325 16TH AVENUE SW
City CEDAR RAPIDS
State IA
ZIP 52404
Phone 319 221-1498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director BONNIE S. BEENER

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