16D2217894 CLIA NUMBER - WALGREENS #09791

Laboratory Demographics

  • CLIA Code: 16D2217894
  • Facility Name: WALGREENS #09791
  • Facility Address: 101 8TH ST SE
    ALTOONA, IA
    ZIP 50009
  • Facility Phone: 515 967-2699
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN OKIOGA
  • NPI Number: 1053326371
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2217894
LAB Type Pharmacy
Facility Name WALGREENS #09791
Street 101 8TH ST SE
City ALTOONA
State IA
ZIP 50009
Phone 515 967-2699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director NATHAN OKIOGA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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