16D2058712 CLIA NUMBER - WALGREENS #05885

Laboratory Demographics

  • CLIA Code: 16D2058712
  • Facility Name: WALGREENS #05885
  • Facility Address: 1703 PARK AVENUE
    MUSCATINE, IA
    ZIP 52761
  • Facility Phone: 563 263-2724
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE H. HWANG
  • NPI Number: 1992710206
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2058712
LAB Type Pharmacy
Facility Name WALGREENS #05885
Street 1703 PARK AVENUE
City MUSCATINE
State IA
ZIP 52761
Phone 563 263-2724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director ANNE H. HWANG

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