16D0952383 CLIA NUMBER - MEDICAP PHARMACY

Laboratory Demographics

  • CLIA Code: 16D0952383
  • Facility Name: MEDICAP PHARMACY
  • Facility Address: 317 N MARKET STREET
    AUDUBON, IA
    ZIP 50025
  • Facility Phone: 712 563-2655
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM MIKKELSEN
  • NPI Number: 1598182206
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0952383
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY
Street 317 N MARKET STREET
City AUDUBON
State IA
ZIP 50025
Phone 712 563-2655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Pharmacy
Lab Director ADAM MIKKELSEN

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