16D2206081 CLIA NUMBER - WALGREENS #07996

Laboratory Demographics

  • CLIA Code: 16D2206081
  • Facility Name: WALGREENS #07996
  • Facility Address: 2702 SE DELAWARE AVE
    ANKENY, IA
    ZIP 50021
  • Facility Phone: 515 473-6069
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC E. RAUCH
  • NPI Number: 1679652655
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2206081
LAB Type Pharmacy
Facility Name WALGREENS #07996
Street 2702 SE DELAWARE AVE
City ANKENY
State IA
ZIP 50021
Phone 515 473-6069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director ERIC E. RAUCH

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