16D2291218 CLIA NUMBER - WALGREENS 06677

Laboratory Demographics

  • CLIA Code: 16D2291218
  • Facility Name: WALGREENS 06677
  • Facility Address: 4900 MILLS CIVIC PKWY
    WEST DES MOINES, IA
    ZIP 50265
  • Facility Phone: 515 223-8166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLA J. KREUTZMAN
  • NPI Number: 1295741882
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2291218
LAB Type Pharmacy
Facility Name WALGREENS 06677
Street 4900 MILLS CIVIC PKWY
City WEST DES MOINES
State IA
ZIP 50265
Phone 515 223-8166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director KYLA J. KREUTZMAN

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