16D2076431 CLIA NUMBER - WALGREENS #15647

Laboratory Demographics

  • CLIA Code: 16D2076431
  • Facility Name: WALGREENS #15647
  • Facility Address: 1900 HAMILTON BLVD
    SIOUX CITY, IA
    ZIP 51104
  • Facility Phone: 712 252-6993
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA HEUMILLER
  • NPI Number: 1235560020
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2076431
LAB Type Pharmacy
Facility Name WALGREENS #15647
Street 1900 HAMILTON BLVD
City SIOUX CITY
State IA
ZIP 51104
Phone 712 252-6993
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 CHRISTINA HEUMILLER

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