16D2260918 CLIA NUMBER - NUDAK VENTURES LLC DBA NUCARA PHARMACY #44

Laboratory Demographics

  • CLIA Code: 16D2260918
  • Facility Name: NUDAK VENTURES LLC DBA NUCARA PHARMACY #44
  • Facility Address: 621 G AVENUE
    GRUNDY CENTER, IA
    ZIP 50638
  • Facility Phone: 319 824-5446
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA A. KROGH
  • NPI Number: 1164516027
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2260918
LAB Type Pharmacy
Facility Name NUDAK VENTURES LLC DBA NUCARA PHARMACY #44
Street 621 G AVENUE
City GRUNDY CENTER
State IA
ZIP 50638
Phone 319 824-5446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Pharmacy
Lab Director LAURA A. KROGH

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