16D2227590 CLIA NUMBER - TOTAL DOSE CENTERVILLE, LLC DBA OWL PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2227590
  • Facility Name: TOTAL DOSE CENTERVILLE, LLC DBA OWL PHARMACY
  • Facility Address: 213 N 13TH ST
    CENTERVILLE, IA
    ZIP 52544
  • Facility Phone: 641 437-7200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACKSON C. JUSTUS
  • NPI Number: 1659967578
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2227590
LAB Type Pharmacy
Facility Name TOTAL DOSE CENTERVILLE, LLC DBA OWL PHARMACY
Street 213 N 13TH ST
City CENTERVILLE
State IA
ZIP 52544
Phone 641 437-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director JACKSON C. JUSTUS

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