16D2242074 CLIA NUMBER - WALGREENS #04714

Laboratory Demographics

  • CLIA Code: 16D2242074
  • Facility Name: WALGREENS #04714
  • Facility Address: 4555 FLEUR DR
    DES MOINES, IA
    ZIP 50321
  • Facility Phone: 515 287-5575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WESLEY B. LIVINGSTON
  • NPI Number: 1265447577
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2242074
LAB Type Pharmacy
Facility Name WALGREENS #04714
Street 4555 FLEUR DR
City DES MOINES
State IA
ZIP 50321
Phone 515 287-5575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Pharmacy
Lab Director WESLEY B. LIVINGSTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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