16D2206084 CLIA NUMBER - WALGREENS #12580

Laboratory Demographics

  • CLIA Code: 16D2206084
  • Facility Name: WALGREENS #12580
  • Facility Address: 324 EDGEWOOD RD NW
    CEDAR RAPIDS, IA
    ZIP 52405
  • Facility Phone: 319 730-0636
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: JILL A. ZIMMERMAN
  • NPI Number: 1740597525
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2206084
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #12580
Street 324 EDGEWOOD RD NW
City CEDAR RAPIDS
State IA
ZIP 52405
Phone 319 730-0636
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 JILL A. ZIMMERMAN

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