16D2223837 CLIA NUMBER - WALGREENS #04973

Laboratory Demographics

  • CLIA Code: 16D2223837
  • Facility Name: WALGREENS #04973
  • Facility Address: 7000 DOUGLAS AVE
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 515 276-4903
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALERIE A. HANKEN
  • NPI Number: 1548275852
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2223837
LAB Type Pharmacy
Facility Name WALGREENS #04973
Street 7000 DOUGLAS AVE
City URBANDALE
State IA
ZIP 50322
Phone 515 276-4903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director VALERIE A. HANKEN

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