16D2164137 CLIA NUMBER - SCOTT PHARMACY INC

Laboratory Demographics

  • CLIA Code: 16D2164137
  • Facility Name: SCOTT PHARMACY INC
  • Facility Address: 238 S MAIN ST
    FAYETTE, IA
    ZIP 52142
  • Facility Phone: 800 246-0024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY W. SCOTT
  • NPI Number: 1669587473
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2164137
LAB Type Pharmacy
Facility Name SCOTT PHARMACY INC
Street 238 S MAIN ST
City FAYETTE
State IA
ZIP 52142
Phone 800 246-0024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Pharmacy
Lab Director JEFFREY W. SCOTT

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