16D1006791 CLIA NUMBER - SUMPTER PHARMACY

Laboratory Demographics

  • CLIA Code: 16D1006791
  • Facility Name: SUMPTER PHARMACY
  • Facility Address: 628 NILE KINNICK DRIVE SOUTH, STE 1
    ADEL, IA
    ZIP 50003
  • Facility Phone: (515) 993-1119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE K. HERRON
  • NPI Number: 1629568795
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D1006791
LAB Type Pharmacy
Facility Name SUMPTER PHARMACY
Street 628 NILE KINNICK DRIVE SOUTH, STE 1
City ADEL
State IA
ZIP 50003
Phone 5159931119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Pharmacy
Lab Director LESLIE K. HERRON

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: 5/18/2026