16D2223939 CLIA NUMBER - WALGREENS #05470

Laboratory Demographics

  • CLIA Code: 16D2223939
  • Facility Name: WALGREENS #05470
  • Facility Address: 4650 MORNINGSIDE AVE
    SIOUX CITY, IA
    ZIP 51106
  • Facility Phone: 712 276-7744
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATLYNN JOHNSON
  • NPI Number: 1154336477
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2223939
LAB Type Pharmacy
Facility Name WALGREENS #05470
Street 4650 MORNINGSIDE AVE
City SIOUX CITY
State IA
ZIP 51106
Phone 712 276-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director KATLYNN JOHNSON

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