16D2200221 CLIA NUMBER - CLARK'S PHARMACY

Home > CLIA Lookup > 16D2200221

Laboratory Demographics

CLIA Number: 16D2200221

Facility Name: CLARK'S PHARMACY

Facility Address:
1946 42ND ST NE
CEDAR RAPIDS, IA
ZIP 52402
Get Directions

Facility Phone Number: 319 393-3210

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952864233

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	16D2200221
LAB Type	Pharmacy
Facility Name	CLARK'S PHARMACY
Street	1946 42ND ST NE
City	CEDAR RAPIDS
State	IA
ZIP	52402
Phone	319 393-3210
CertificateType	4
CertificateEffectiveDate	11/13/2022
CertificateExpirationDate	11/12/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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