16D1034185 CLIA NUMBER - OSCO DRUG #1118 AMERICAN DRUG STORES LLC

Laboratory Demographics

  • CLIA Code: 16D1034185
  • Facility Name: OSCO DRUG #1118 AMERICAN DRUG STORES LLC
  • Facility Address: 1309 NORTH SECOND
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 243-6641
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDRA J. SHIMAK
  • NPI Number: 1023064557
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1034185
LAB Type Pharmacy
Facility Name OSCO DRUG #1118 AMERICAN DRUG STORES LLC
Street 1309 NORTH SECOND
City CLINTON
State IA
ZIP 52732
Phone 563 243-6641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Pharmacy
Lab Director SANDRA J. SHIMAK

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