16D2290019 CLIA NUMBER - RURAL RX, LLC DBA GREENE COUNTY PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2290019
  • Facility Name: RURAL RX, LLC DBA GREENE COUNTY PHARMACY
  • Facility Address: 400 N ELM ST
    JEFFERSON, IA
    ZIP 50129
  • Facility Phone: 641 231-1488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA J. YOUNGBLOOD
  • NPI Number: 1639173685
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2290019
LAB Type Pharmacy
Facility Name RURAL RX, LLC DBA GREENE COUNTY PHARMACY
Street 400 N ELM ST
City JEFFERSON
State IA
ZIP 50129
Phone 641 231-1488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Pharmacy
Lab Director SAMANTHA J. YOUNGBLOOD

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