16D2058713 CLIA NUMBER - WALGREENS #05119

Laboratory Demographics

  • CLIA Code: 16D2058713
  • Facility Name: WALGREENS #05119
  • Facility Address: 806 S 4TH STREET
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 242-8011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA C. TOENGES
  • NPI Number: 1285649590
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2058713
LAB Type Pharmacy
Facility Name WALGREENS #05119
Street 806 S 4TH STREET
City CLINTON
State IA
ZIP 52732
Phone 563 242-8011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director JOSHUA C. TOENGES

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