16D2205323 CLIA NUMBER - WALGREENS #11710

Laboratory Demographics

  • CLIA Code: 16D2205323
  • Facility Name: WALGREENS #11710
  • Facility Address: 625 PACHA PKWY
    NORTH LIBERTY, IA
    ZIP 52317
  • Facility Phone: 319 499-6006
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ASHLEY N. MARSHBANKS
  • NPI Number: 1639576341
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2205323
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #11710
Street 625 PACHA PKWY
City NORTH LIBERTY
State IA
ZIP 52317
Phone 319 499-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director ASHLEY N. MARSHBANKS

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