16D2058706 CLIA NUMBER - WALGREENS #06553

Laboratory Demographics

  • CLIA Code: 16D2058706
  • Facility Name: WALGREENS #06553
  • Facility Address: 830 MIDDLE ROAD
    BETTENDORF, IA
    ZIP 52722
  • Facility Phone: 563 355-5345
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA LOBBERECHT
  • NPI Number: 1376558684
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2058706
LAB Type Pharmacy
Facility Name WALGREENS #06553
Street 830 MIDDLE ROAD
City BETTENDORF
State IA
ZIP 52722
Phone 563 355-5345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director JENNA LOBBERECHT

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