16D0929351 CLIA NUMBER - MEDICAP #8207

Laboratory Demographics

  • CLIA Code: 16D0929351
  • Facility Name: MEDICAP #8207
  • Facility Address: 403 STORY STREET
    BOONE, IA
    ZIP 50036
  • Facility Phone: 515 432-2311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUDHA KUMAR
  • NPI Number: 1578014213
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0929351
LAB Type Pharmacy
Facility Name MEDICAP #8207
Street 403 STORY STREET
City BOONE
State IA
ZIP 50036
Phone 515 432-2311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director SUDHA KUMAR

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