16D2067866 CLIA NUMBER - NUDAK VENTURES LLC DBA NUCARA PHARMACY 28

Laboratory Demographics

  • CLIA Code: 16D2067866
  • Facility Name: NUDAK VENTURES LLC DBA NUCARA PHARMACY 28
  • Facility Address: 3600 UNIVERSITY BLVD, SUITE 103
    AMES, IA
    ZIP 50014
  • Facility Phone: 515 292-3604
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC BULAK
  • NPI Number: 1972521862
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2067866
LAB Type Pharmacy
Facility Name NUDAK VENTURES LLC DBA NUCARA PHARMACY 28
Street 3600 UNIVERSITY BLVD, SUITE 103
City AMES
State IA
ZIP 50014
Phone 515 292-3604
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 ERIC BULAK

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