16D2181773 CLIA NUMBER - SOLON TOWNCREST PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2181773
  • Facility Name: SOLON TOWNCREST PHARMACY
  • Facility Address: 101 WINDFLOWER LANE SUITE 100
    SOLON, IA
    ZIP 52333
  • Facility Phone: 319 624-2239
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANDY P. MCDONOUGH
  • NPI Number: 1043567050
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2181773
LAB Type Pharmacy
Facility Name SOLON TOWNCREST PHARMACY
Street 101 WINDFLOWER LANE SUITE 100
City SOLON
State IA
ZIP 52333
Phone 319 624-2239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Pharmacy
Lab Director RANDY P. MCDONOUGH

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