16D2205330 CLIA NUMBER - WAYNE COUNTY HOSPITAL DBA YOUR NEIGHBORHOOD PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2205330
  • Facility Name: WAYNE COUNTY HOSPITAL DBA YOUR NEIGHBORHOOD PHARMACY
  • Facility Address: 510 E JEFFERSON ST, SUITE A
    CORYDON, IA
    ZIP 50060
  • Facility Phone: 641 872-2030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA W. DAVIS
  • NPI Number: 1457902314
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2205330
LAB Type Pharmacy
Facility Name WAYNE COUNTY HOSPITAL DBA YOUR NEIGHBORHOOD PHARMACY
Street 510 E JEFFERSON ST, SUITE A
City CORYDON
State IA
ZIP 50060
Phone 641 872-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director JOSHUA W. DAVIS

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