16D2030027 CLIA NUMBER - WALGREENS #11330

Laboratory Demographics

  • CLIA Code: 16D2030027
  • Facility Name: WALGREENS #11330
  • Facility Address: 800 LAKE AVENUE
    STORM LAKE, IA
    ZIP 50588
  • Facility Phone: 712 732-0005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAYLEY N. PERRIN
  • NPI Number: 1699956672
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2030027
LAB Type Pharmacy
Facility Name WALGREENS #11330
Street 800 LAKE AVENUE
City STORM LAKE
State IA
ZIP 50588
Phone 712 732-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director HAYLEY N. PERRIN

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