16D2200221 CLIA NUMBER - CLARK'S PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2200221
  • Facility Name: CLARK'S PHARMACY
  • Facility Address: 1946 42ND ST NE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 393-3210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRAIG CLARK
  • NPI Number: 1952864233
  • Taxonomy: 3336L0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Pharmacy
Lab Director CRAIG CLARK

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