16D2058700 CLIA NUMBER - WALGREENS #06186

Laboratory Demographics

  • CLIA Code: 16D2058700
  • Facility Name: WALGREENS #06186
  • Facility Address: 4011 E 53RD STREET
    DAVENPORT, IA
    ZIP 52807
  • Facility Phone: 563 359-3438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSE RODRIGUEZ
  • NPI Number: 1104832799
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2058700
LAB Type Pharmacy
Facility Name WALGREENS #06186
Street 4011 E 53RD STREET
City DAVENPORT
State IA
ZIP 52807
Phone 563 359-3438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Pharmacy
Lab Director JOSE RODRIGUEZ

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