16D2043082 CLIA NUMBER - PHARMACY ON 8TH

Laboratory Demographics

  • CLIA Code: 16D2043082
  • Facility Name: PHARMACY ON 8TH
  • Facility Address: 221 8TH AVENUE PO BOX 10
    WELLMAN, IA
    ZIP 52356
  • Facility Phone: 319 646-3388
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA T. DE JESUS-ROETLIN
  • NPI Number: 1467715821
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2043082
LAB Type Pharmacy
Facility Name PHARMACY ON 8TH
Street 221 8TH AVENUE PO BOX 10
City WELLMAN
State IA
ZIP 52356
Phone 319 646-3388
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 MARIA T. DE JESUS-ROETLIN

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