16D0927479 CLIA NUMBER - MONTROSS PHARMACY

Laboratory Demographics

  • CLIA Code: 16D0927479
  • Facility Name: MONTROSS PHARMACY
  • Facility Address: 118 NORTH FIRST AVENUE
    WINTERSET, IA
    ZIP 50273
  • Facility Phone: 515 462-2282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY T. OLSON
  • NPI Number: 1952490500
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0927479
LAB Type Pharmacy
Facility Name MONTROSS PHARMACY
Street 118 NORTH FIRST AVENUE
City WINTERSET
State IA
ZIP 50273
Phone 515 462-2282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director JEFFREY T. OLSON

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