16D2205362 CLIA NUMBER - PM ACQUISITION LLC DBA NUCARA LTC PHARMACY #4

Laboratory Demographics

  • CLIA Code: 16D2205362
  • Facility Name: PM ACQUISITION LLC DBA NUCARA LTC PHARMACY #4
  • Facility Address: 2039 CROSSROADS BLVD, SUITE B
    WATERLOO, IA
    ZIP 50702
  • Facility Phone: 319 888-1724
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARYNN SMITH
  • NPI Number: 1508339425
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2205362
LAB Type Pharmacy
Facility Name PM ACQUISITION LLC DBA NUCARA LTC PHARMACY #4
Street 2039 CROSSROADS BLVD, SUITE B
City WATERLOO
State IA
ZIP 50702
Phone 319 888-1724
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 CARYNN SMITH

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