16D1007184 CLIA NUMBER - MEDICAP PHARMACY #15

Laboratory Demographics

  • CLIA Code: 16D1007184
  • Facility Name: MEDICAP PHARMACY #15
  • Facility Address: 107 NE DELAWARE, SUITE 6
    ANKENY, IA
    ZIP 50021
  • Facility Phone: 515 964-8550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL ROBINSON
  • NPI Number: 1447284666
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1007184
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY #15
Street 107 NE DELAWARE, SUITE 6
City ANKENY
State IA
ZIP 50021
Phone 515 964-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director MICHAEL ROBINSON

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