16D2182943 CLIA NUMBER - PHARMA340 DBA COMMUNITY PHARMACY OF LAKE CITY

Laboratory Demographics

  • CLIA Code: 16D2182943
  • Facility Name: PHARMA340 DBA COMMUNITY PHARMACY OF LAKE CITY
  • Facility Address: 1321 W MAIN ST
    LAKE CITY, IA
    ZIP 51449
  • Facility Phone: 712 464-7281
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRET FRANCIS
  • NPI Number: 1063971398
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2182943
LAB Type Pharmacy
Facility Name PHARMA340 DBA COMMUNITY PHARMACY OF LAKE CITY
Street 1321 W MAIN ST
City LAKE CITY
State IA
ZIP 51449
Phone 712 464-7281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director BRET FRANCIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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