16D2251182 CLIA NUMBER - AMICARE PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2251182
  • Facility Name: AMICARE PHARMACY
  • Facility Address: 3740 UTICA RIDGE ROAD
    BETTENDORF, IA
    ZIP 52722
  • Facility Phone: 563 344-7450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TORI ROBERTS
  • NPI Number: 1114934239
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2251182
LAB Type Pharmacy
Facility Name AMICARE PHARMACY
Street 3740 UTICA RIDGE ROAD
City BETTENDORF
State IA
ZIP 52722
Phone 563 344-7450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Pharmacy
Lab Director TORI ROBERTS

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