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16D2290938 CLIA NUMBER - WALGREENS 03196

Laboratory Demographics

CLIA Number: 16D2290938

Facility Name: WALGREENS 03196

Facility Address:
5 E ANSON ST
MARSHALLTOWN, IA
ZIP 50158
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Facility Phone Number: 641 752-7181

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1710992029

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 16D2290938
LAB Type Pharmacy
Facility Name WALGREENS 03196
Street 5 E ANSON ST
City MARSHALLTOWN
State IA
ZIP 50158
Phone 641 752-7181
CertificateType 4
CertificateEffectiveDate 10/3/2023
CertificateExpirationDate 10/2/2025
FacilityType Waiver

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