16D1095917 CLIA NUMBER - MEDICAP PHARMACY #8019

Laboratory Demographics

  • CLIA Code: 16D1095917
  • Facility Name: MEDICAP PHARMACY #8019
  • Facility Address: 108 2ND AVENUE WEST
    TOLEDO, IA
    ZIP 52342
  • Facility Phone: (641) 484-6198
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIM T. MADSEN
  • NPI Number: 1932605722
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D1095917
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY #8019
Street 108 2ND AVENUE WEST
City TOLEDO
State IA
ZIP 52342
Phone 6414846198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Pharmacy
Lab Director TIM T. MADSEN

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This page was last updated on: 5/18/2026