16D2172107 CLIA NUMBER - DENVER DRUG

Laboratory Demographics

  • CLIA Code: 16D2172107
  • Facility Name: DENVER DRUG
  • Facility Address: 340 S STATE ST
    DENVER, IA
    ZIP 50622
  • Facility Phone: 319 984-5691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRETT R. HANSEN
  • NPI Number: 1124192539
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2172107
LAB Type Pharmacy
Facility Name DENVER DRUG
Street 340 S STATE ST
City DENVER
State IA
ZIP 50622
Phone 319 984-5691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Pharmacy
Lab Director BRETT R. HANSEN

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