16D2058714 CLIA NUMBER - WALGREENS #05144

Laboratory Demographics

  • CLIA Code: 16D2058714
  • Facility Name: WALGREENS #05144
  • Facility Address: 1905 N 2ND STREET
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 243-2247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSABELLA R. CHRISTIAN
  • NPI Number: 1134135726
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2058714
LAB Type Pharmacy
Facility Name WALGREENS #05144
Street 1905 N 2ND STREET
City CLINTON
State IA
ZIP 52732
Phone 563 243-2247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director ROSABELLA R. CHRISTIAN

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