16D2232069 CLIA NUMBER - ESTHERVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2232069
  • Facility Name: ESTHERVILLE PHARMACY
  • Facility Address: 1804 CENTRAL AVENUE
    ESTHERVILLE, IA
    ZIP 51334
  • Facility Phone: 712 362-0330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW L. SPURGIN
  • NPI Number: 1063562890
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2232069
LAB Type Pharmacy
Facility Name ESTHERVILLE PHARMACY
Street 1804 CENTRAL AVENUE
City ESTHERVILLE
State IA
ZIP 51334
Phone 712 362-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director ANDREW L. SPURGIN

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