16D2184041 CLIA NUMBER - MAIN STREET DRUG

Laboratory Demographics

  • CLIA Code: 16D2184041
  • Facility Name: MAIN STREET DRUG
  • Facility Address: 204 N MAIN STREET
    CHARLES CITY, IA
    ZIP 50616
  • Facility Phone: 641 228-3519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYNTHIA S. UETZ
  • NPI Number: 1750920088
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2184041
LAB Type Pharmacy
Facility Name MAIN STREET DRUG
Street 204 N MAIN STREET
City CHARLES CITY
State IA
ZIP 50616
Phone 641 228-3519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director CYNTHIA S. UETZ

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