16D2005159 CLIA NUMBER - MEDICAP PHARMACY 8095

Laboratory Demographics

  • CLIA Code: 16D2005159
  • Facility Name: MEDICAP PHARMACY 8095
  • Facility Address: 1602 EDGINGTON AVENUE
    ELDORA, IA
    ZIP 50627
  • Facility Phone: 641 858-3567
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MCCOLLOM
  • NPI Number: 1174617583
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2005159
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY 8095
Street 1602 EDGINGTON AVENUE
City ELDORA
State IA
ZIP 50627
Phone 641 858-3567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director STEPHANIE MCCOLLOM

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