16D2217536 CLIA NUMBER - WALGREENS #03590

Laboratory Demographics

  • CLIA Code: 16D2217536
  • Facility Name: WALGREENS #03590
  • Facility Address: 3910 UNIVERSITY AVE
    WATERLOO, IA
    ZIP 50701
  • Facility Phone: 319 236-9927
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER BUTLER
  • NPI Number: 1790790004
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2217536
LAB Type Pharmacy
Facility Name WALGREENS #03590
Street 3910 UNIVERSITY AVE
City WATERLOO
State IA
ZIP 50701
Phone 319 236-9927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director JENNIFER BUTLER

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