16D2152039 CLIA NUMBER - BENNETT PHARMACY INC

Laboratory Demographics

  • CLIA Code: 16D2152039
  • Facility Name: BENNETT PHARMACY INC
  • Facility Address: 1 WEST MAIN STREET
    NEW HAMPTON, IA
    ZIP 50659
  • Facility Phone: 641 394-4156
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS R. RASMUSSEN
  • NPI Number: 1750423810
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2152039
LAB Type Pharmacy
Facility Name BENNETT PHARMACY INC
Street 1 WEST MAIN STREET
City NEW HAMPTON
State IA
ZIP 50659
Phone 641 394-4156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Pharmacy
Lab Director THOMAS R. RASMUSSEN

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This page was last updated on: 6/4/2025