16D1021689 CLIA NUMBER - MEDICAP PHARMACY #8347

Laboratory Demographics

  • CLIA Code: 16D1021689
  • Facility Name: MEDICAP PHARMACY #8347
  • Facility Address: 2804 BEAVER AVENUE
    DES MOINES, IA
    ZIP 50310
  • Facility Phone: 515 277-3702
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEVIN RADECHEL
  • NPI Number: 1942452230
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1021689
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY #8347
Street 2804 BEAVER AVENUE
City DES MOINES
State IA
ZIP 50310
Phone 515 277-3702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Pharmacy
Lab Director NEVIN RADECHEL

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