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16D2182815 CLIA NUMBER - CLINIC PHARMACY

Laboratory Demographics

CLIA Number: 16D2182815

Facility Name: CLINIC PHARMACY

Facility Address:
920 S OAK STREET, SUITE 2
IOWA FALLS, IA
ZIP 50126
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Facility Phone Number: 641 648-3733

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1730245093

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 16D2182815
LAB Type Pharmacy
Facility Name CLINIC PHARMACY
Street 920 S OAK STREET, SUITE 2
City IOWA FALLS
State IA
ZIP 50126
Phone 641 648-3733
CertificateType 4
CertificateEffectiveDate 4/27/2024
CertificateExpirationDate 4/26/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024