16D2265068 CLIA NUMBER - MONTROSS PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2265068
  • Facility Name: MONTROSS PHARMACY
  • Facility Address: 115 N CHESTNUT AVE
    EARLHAM, IA
    ZIP 50072
  • Facility Phone: 515 758-2174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON R. SALTON
  • NPI Number: 1639149990
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2265068
LAB Type Pharmacy
Facility Name MONTROSS PHARMACY
Street 115 N CHESTNUT AVE
City EARLHAM
State IA
ZIP 50072
Phone 515 758-2174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Pharmacy
Lab Director JASON R. SALTON

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