16D2187675 CLIA NUMBER - WALGREENS #05852

Laboratory Demographics

  • CLIA Code: 16D2187675
  • Facility Name: WALGREENS #05852
  • Facility Address: 3030 UNIVERSITY AVE
    DES MOINES, IA
    ZIP 50311
  • Facility Phone: 515 279-3074
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAILEY FREEMAN
  • NPI Number: 1699780916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2187675
LAB Type Pharmacy
Facility Name WALGREENS #05852
Street 3030 UNIVERSITY AVE
City DES MOINES
State IA
ZIP 50311
Phone 515 279-3074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Pharmacy
Lab Director HAILEY FREEMAN

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