16D1055792 CLIA NUMBER - MEDICAP PHARMACY

Laboratory Demographics

  • CLIA Code: 16D1055792
  • Facility Name: MEDICAP PHARMACY
  • Facility Address: 800 SCHOOL STREET
    CARLISLE, IA
    ZIP 50047
  • Facility Phone: 515 989-3261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC RAUCH
  • NPI Number: 1912956020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1055792
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY
Street 800 SCHOOL STREET
City CARLISLE
State IA
ZIP 50047
Phone 515 989-3261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Pharmacy
Lab Director ERIC RAUCH

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