16D2290951 CLIA NUMBER - WALGREENS 05777

Laboratory Demographics

  • CLIA Code: 16D2290951
  • Facility Name: WALGREENS 05777
  • Facility Address: 2930 E UNIVERSITY AVE
    DES MOINES, IA
    ZIP 50317
  • Facility Phone: 515 299-5186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY M. GUNDERSON
  • NPI Number: 1043226632
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2290951
LAB Type Pharmacy
Facility Name WALGREENS 05777
Street 2930 E UNIVERSITY AVE
City DES MOINES
State IA
ZIP 50317
Phone 515 299-5186
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 KELLY M. GUNDERSON

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