16D2067859 CLIA NUMBER - NUDAK VENTURES, LLC DBA NUCARA PHARMACY #2

Laboratory Demographics

  • CLIA Code: 16D2067859
  • Facility Name: NUDAK VENTURES, LLC DBA NUCARA PHARMACY #2
  • Facility Address: 1900 JAMES STREET, STE 10
    CORALVILLE, IA
    ZIP 52241
  • Facility Phone: 319 354-6006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER PETERSEN
  • NPI Number: 1437162112
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2067859
LAB Type Pharmacy
Facility Name NUDAK VENTURES, LLC DBA NUCARA PHARMACY #2
Street 1900 JAMES STREET, STE 10
City CORALVILLE
State IA
ZIP 52241
Phone 319 354-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER PETERSEN

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