16D2182946 CLIA NUMBER - PHARMA340 DBA COMMUNITY PHARMACY OF SAC CITY

Laboratory Demographics

  • CLIA Code: 16D2182946
  • Facility Name: PHARMA340 DBA COMMUNITY PHARMACY OF SAC CITY
  • Facility Address: 501 W MAIN ST
    SAC CITY, IA
    ZIP 50583
  • Facility Phone: 712 662-8165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAKAYLA NIEHAUS
  • NPI Number: 1871142422
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2182946
LAB Type Pharmacy
Facility Name PHARMA340 DBA COMMUNITY PHARMACY OF SAC CITY
Street 501 W MAIN ST
City SAC CITY
State IA
ZIP 50583
Phone 712 662-8165
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 MAKAYLA NIEHAUS

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