16D2287299 CLIA NUMBER - WALGREENS #21353

Laboratory Demographics

  • CLIA Code: 16D2287299
  • Facility Name: WALGREENS #21353
  • Facility Address: 260 NW 36TH ST
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 346-3335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. VARGO
  • NPI Number: 1598408874
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2287299
LAB Type Pharmacy
Facility Name WALGREENS #21353
Street 260 NW 36TH ST
City ANKENY
State IA
ZIP 50023
Phone 515 346-3335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director MICHAEL S. VARGO

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