16D2182945 CLIA NUMBER - PHARMA340 DBA COMMUNITY PHARMACY OF ROCKWELL CITY

Laboratory Demographics

  • CLIA Code: 16D2182945
  • Facility Name: PHARMA340 DBA COMMUNITY PHARMACY OF ROCKWELL CITY
  • Facility Address: 507 E LAKE ST
    ROCKWELL CITY, IA
    ZIP 50579
  • Facility Phone: 712 297-7337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA STURM
  • NPI Number: 1316406648
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2182945
LAB Type Pharmacy
Facility Name PHARMA340 DBA COMMUNITY PHARMACY OF ROCKWELL CITY
Street 507 E LAKE ST
City ROCKWELL CITY
State IA
ZIP 50579
Phone 712 297-7337
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 JENNA STURM

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