16D0966182 CLIA NUMBER - LIFE RX INC DBA SCOTT'S THRIFTY WHITE DRUG

Laboratory Demographics

  • CLIA Code: 16D0966182
  • Facility Name: LIFE RX INC DBA SCOTT'S THRIFTY WHITE DRUG
  • Facility Address: 629 6TH AVENUE
    DEWITT, IA
    ZIP 52742
  • Facility Phone: 563 659-5042
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. PETER LAUREIJS
  • NPI Number: 1255652210
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0966182
LAB Type Pharmacy
Facility Name LIFE RX INC DBA SCOTT'S THRIFTY WHITE DRUG
Street 629 6TH AVENUE
City DEWITT
State IA
ZIP 52742
Phone 563 659-5042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Pharmacy
Lab Director DR. PETER LAUREIJS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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