16D2324388 CLIA NUMBER - SERGEANT BLUFF PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2324388
  • Facility Name: SERGEANT BLUFF PHARMACY
  • Facility Address: 105 GAUL DR STE A
    SERGEANT BLUFF, IA
    ZIP 51054
  • Facility Phone: 712 943-1494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY A. JACKSON
  • NPI Number: 1275602518
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2324388
LAB Type Pharmacy
Facility Name SERGEANT BLUFF PHARMACY
Street 105 GAUL DR STE A
City SERGEANT BLUFF
State IA
ZIP 51054
Phone 712 943-1494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director STACEY A. JACKSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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