16D2206082 CLIA NUMBER - WALGREENS #10557

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Laboratory Demographics

CLIA Number: 16D2206082

Facility Name: WALGREENS #10557

Facility Address:
2509 WHITE TAIL DR
CEDAR FALLS, IA
ZIP 50613
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Facility Phone Number: 319 553-0206

Facility Type: Other - COVID 19 TEST SITE

Certificate Type: Waiver

NPI Number: 1326190927

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	16D2206082
LAB Type	Other - COVID 19 TEST SITE
Facility Name	WALGREENS #10557
Street	2509 WHITE TAIL DR
City	CEDAR FALLS
State	IA
ZIP	50613
Phone	319 553-0206
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024