16D1038378 CLIA NUMBER - NUCARA PHARMACY #12

Laboratory Demographics

  • CLIA Code: 16D1038378
  • Facility Name: NUCARA PHARMACY #12
  • Facility Address: 500 2ND STREET
    TRAER, IA
    ZIP 50675
  • Facility Phone: 319 478-8711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN GASKIN
  • NPI Number: 1497766901
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1038378
LAB Type Pharmacy
Facility Name NUCARA PHARMACY #12
Street 500 2ND STREET
City TRAER
State IA
ZIP 50675
Phone 319 478-8711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director DUSTIN GASKIN

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