16D2219595 CLIA NUMBER - WALGREENS #10855

Laboratory Demographics

  • CLIA Code: 16D2219595
  • Facility Name: WALGREENS #10855
  • Facility Address: 1850 LOGAN AVE
    WATERLOO, IA
    ZIP 50703
  • Facility Phone: 319 296-7761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANDON J. NARDINI
  • NPI Number: 1699934562
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2219595
LAB Type Pharmacy
Facility Name WALGREENS #10855
Street 1850 LOGAN AVE
City WATERLOO
State IA
ZIP 50703
Phone 319 296-7761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director LANDON J. NARDINI

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