16D2290941 CLIA NUMBER - WALGREENS 06623

Laboratory Demographics

  • CLIA Code: 16D2290941
  • Facility Name: WALGREENS 06623
  • Facility Address: 1660 22ND ST
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 223-9699
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN J. MULLER
  • NPI Number: 1235144551
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2290941
LAB Type Pharmacy
Facility Name WALGREENS 06623
Street 1660 22ND ST
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 223-9699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director RYAN J. MULLER

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