16D2206147 CLIA NUMBER - CONSULTANT PHARMACIST INC DBA PENN DRUG CO

Laboratory Demographics

  • CLIA Code: 16D2206147
  • Facility Name: CONSULTANT PHARMACIST INC DBA PENN DRUG CO
  • Facility Address: 714 ILLINOIS ST
    SIDNEY, IA
    ZIP 51652
  • Facility Phone: 712 374-2513
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA S. ETTLEMAN
  • NPI Number: 1972643914
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2206147
LAB Type Pharmacy
Facility Name CONSULTANT PHARMACIST INC DBA PENN DRUG CO
Street 714 ILLINOIS ST
City SIDNEY
State IA
ZIP 51652
Phone 712 374-2513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director ANGELA S. ETTLEMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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