16D2205346 CLIA NUMBER - PM ACQUISITION, LLC DBA NUCARA LTC PHARMACY #3

Laboratory Demographics

  • CLIA Code: 16D2205346
  • Facility Name: PM ACQUISITION, LLC DBA NUCARA LTC PHARMACY #3
  • Facility Address: 3526 DOLPHIN DRIVE SE
    IOWA CITY, IA
    ZIP 52245
  • Facility Phone: 319 337-8649
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OTAVIO HEGOUET
  • NPI Number: 1588900047
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2205346
LAB Type Pharmacy
Facility Name PM ACQUISITION, LLC DBA NUCARA LTC PHARMACY #3
Street 3526 DOLPHIN DRIVE SE
City IOWA CITY
State IA
ZIP 52245
Phone 319 337-8649
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 OTAVIO HEGOUET

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