16D2206082 CLIA NUMBER - WALGREENS #10557

Laboratory Demographics

  • CLIA Code: 16D2206082
  • Facility Name: WALGREENS #10557
  • Facility Address: 2509 WHITE TAIL DR
    CEDAR FALLS, IA
    ZIP 50613
  • Facility Phone: 319 553-0206
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: JAMIE L. OLTMANN
  • NPI Number: 1326190927
  • Taxonomy: 333600000X - Pharmacy

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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
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 Other - COVID 19 TEST SITE
Lab Director JAMIE L. OLTMANN

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