16D2031009 CLIA NUMBER - WALGREENS #12108

Laboratory Demographics

  • CLIA Code: 16D2031009
  • Facility Name: WALGREENS #12108
  • Facility Address: 2719 GRAND AVENUE
    AMES, IA
    ZIP 50010
  • Facility Phone: 515 232-8284
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: POOJA GHOSH
  • NPI Number: 1437164746
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2031009
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #12108
Street 2719 GRAND AVENUE
City AMES
State IA
ZIP 50010
Phone 515 232-8284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director POOJA GHOSH

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