16D2229485 CLIA NUMBER - WALGREENS #07968

Laboratory Demographics

  • CLIA Code: 16D2229485
  • Facility Name: WALGREENS #07968
  • Facility Address: 6200 SE 14TH ST
    DES MOINES, IA
    ZIP 50320
  • Facility Phone: 515 309-5468
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATT OCHS
  • NPI Number: 1922014513
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2229485
LAB Type Pharmacy
Facility Name WALGREENS #07968
Street 6200 SE 14TH ST
City DES MOINES
State IA
ZIP 50320
Phone 515 309-5468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director MATT OCHS

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