16D2182715 CLIA NUMBER - WELLS HOMETOWN DRUG

Laboratory Demographics

  • CLIA Code: 16D2182715
  • Facility Name: WELLS HOMETOWN DRUG
  • Facility Address: 208 E FRANKLIN ST
    BLOOMFIELD, IA
    ZIP 52537
  • Facility Phone: 641 664-3100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYLO E. WELLS
  • NPI Number: 1053896399
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2182715
LAB Type Pharmacy
Facility Name WELLS HOMETOWN DRUG
Street 208 E FRANKLIN ST
City BLOOMFIELD
State IA
ZIP 52537
Phone 641 664-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Pharmacy
Lab Director MYLO E. WELLS

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