16D2030021 CLIA NUMBER - WALGREENS #10770

Laboratory Demographics

  • CLIA Code: 16D2030021
  • Facility Name: WALGREENS #10770
  • Facility Address: 105 E 6TH STREET
    CARROLL, IA
    ZIP 51401
  • Facility Phone: 712 792-4566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA M. OSTERHAUS
  • NPI Number: 1073731931
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2030021
LAB Type Pharmacy
Facility Name WALGREENS #10770
Street 105 E 6TH STREET
City CARROLL
State IA
ZIP 51401
Phone 712 792-4566
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 PAMELA M. OSTERHAUS

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