16D1085992 CLIA NUMBER - MEDICAP PHARMACY 8052

Laboratory Demographics

  • CLIA Code: 16D1085992
  • Facility Name: MEDICAP PHARMACY 8052
  • Facility Address: 1300 EAST 14TH STREET
    DES MOINES, IA
    ZIP 50316
  • Facility Phone: 515 263-1782
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRYSTAL BELL
  • NPI Number: 1528017647
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1085992
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY 8052
Street 1300 EAST 14TH STREET
City DES MOINES
State IA
ZIP 50316
Phone 515 263-1782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director KRYSTAL BELL

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