16D0934753 CLIA NUMBER - MEDICAP PHARMACY

Laboratory Demographics

  • CLIA Code: 16D0934753
  • Facility Name: MEDICAP PHARMACY
  • Facility Address: 904 NORTH JOHN WAYNE DRIVE
    WINTERSET, IA
    ZIP 50273
  • Facility Phone: 515 462-2880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY GRAY
  • NPI Number: 1821047945
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0934753
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY
Street 904 NORTH JOHN WAYNE DRIVE
City WINTERSET
State IA
ZIP 50273
Phone 515 462-2880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director CASEY GRAY

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