16D2192566 CLIA NUMBER - GUARDIAN PHARMACY OF IOWA

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Laboratory Demographics

CLIA Number: 16D2192566

Facility Name: GUARDIAN PHARMACY OF IOWA

Facility Address:
211 SW WALNUT STREET
ANKENY, IA
ZIP 50023
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Facility Phone Number: 515 963-1640

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1447762885

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	16D2192566
LAB Type	Pharmacy
Facility Name	GUARDIAN PHARMACY OF IOWA
Street	211 SW WALNUT STREET
City	ANKENY
State	IA
ZIP	50023
Phone	515 963-1640
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024