16D2068241 CLIA NUMBER - NUDAK VENTURES LLC DBA NUCARA PHARMACY #4

Laboratory Demographics

  • CLIA Code: 16D2068241
  • Facility Name: NUDAK VENTURES LLC DBA NUCARA PHARMACY #4
  • Facility Address: 209 E SAN MARNAN DRIVE
    WATERLOO, IA
    ZIP 50702
  • Facility Phone: 319 236-8891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE STAHL
  • NPI Number: 1700987435
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2068241
LAB Type Pharmacy
Facility Name NUDAK VENTURES LLC DBA NUCARA PHARMACY #4
Street 209 E SAN MARNAN DRIVE
City WATERLOO
State IA
ZIP 50702
Phone 319 236-8891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director JULIE STAHL

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