16D2183788 CLIA NUMBER - KOERNER WHIPPLE PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2183788
  • Facility Name: KOERNER WHIPPLE PHARMACY
  • Facility Address: 104 1ST ST NW
    HAMPTON, IA
    ZIP 50441
  • Facility Phone: 641 456-2510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TODD WRAGGE
  • NPI Number: 1184786113
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2183788
LAB Type Pharmacy
Facility Name KOERNER WHIPPLE PHARMACY
Street 104 1ST ST NW
City HAMPTON
State IA
ZIP 50441
Phone 641 456-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Pharmacy
Lab Director TODD WRAGGE

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