16D2058702 CLIA NUMBER - WALGREENS #11942

Laboratory Demographics

  • CLIA Code: 16D2058702
  • Facility Name: WALGREENS #11942
  • Facility Address: 345 E 20TH STREET
    DUBUQUE, IA
    ZIP 52001
  • Facility Phone: 563 690-1836
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERAD C. SCHEMMEL
  • NPI Number: 1568605970
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2058702
LAB Type Pharmacy
Facility Name WALGREENS #11942
Street 345 E 20TH STREET
City DUBUQUE
State IA
ZIP 52001
Phone 563 690-1836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director JERAD C. SCHEMMEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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