16D2058709 CLIA NUMBER - WALGREENS #03595

Laboratory Demographics

  • CLIA Code: 16D2058709
  • Facility Name: WALGREENS #03595
  • Facility Address: 1720 W KIMBERLY ROAD
    DAVENPORT, IA
    ZIP 52806
  • Facility Phone: 563 386-2070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DELANEY D. CHEEK
  • NPI Number: 1538174842
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2058709
LAB Type Pharmacy
Facility Name WALGREENS #03595
Street 1720 W KIMBERLY ROAD
City DAVENPORT
State IA
ZIP 52806
Phone 563 386-2070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director DELANEY D. CHEEK

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This page was last updated on: 3/20/2025