16D0918985 CLIA NUMBER - MEDICAP PHARMACY

Laboratory Demographics

  • CLIA Code: 16D0918985
  • Facility Name: MEDICAP PHARMACY
  • Facility Address: 212 1ST STREET N
    NEWTON, IA
    ZIP 50208
  • Facility Phone: 641 792-3528
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE FORCK
  • NPI Number: 1154848273
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0918985
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY
Street 212 1ST STREET N
City NEWTON
State IA
ZIP 50208
Phone 641 792-3528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Pharmacy
Lab Director CHRISTINE FORCK

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