16D2030027 CLIA NUMBER - WALGREENS #11330

Home > CLIA Lookup > 16D2030027

Laboratory Demographics

CLIA Number: 16D2030027

Facility Name: WALGREENS #11330

Facility Address:
800 LAKE AVENUE
STORM LAKE, IA
ZIP 50588
Get Directions

Facility Phone Number: 712 732-0005

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1699956672

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024