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16D2223837 CLIA NUMBER - WALGREENS #04973

Laboratory Demographics

CLIA Number: 16D2223837

Facility Name: WALGREENS #04973

Facility Address:
7000 DOUGLAS AVE
URBANDALE, IA
ZIP 50322
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Facility Phone Number: 515 276-4903

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1548275852

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 5/10/2023
CertificateExpirationDate 5/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024