24D1101424 CLIA NUMBER - MEDICAP PHARMACY #8213

Laboratory Demographics

  • CLIA Code: 24D1101424
  • Facility Name: MEDICAP PHARMACY #8213
  • Facility Address: 1109 WEST OAKLAND AVENUE
    AUSTIN, MN
    ZIP 55912
  • Facility Phone: 507 433-7123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JON J. ENGELHARDT
  • NPI Number: 1063506475
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D1101424
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY #8213
Street 1109 WEST OAKLAND AVENUE
City AUSTIN
State MN
ZIP 55912
Phone 507 433-7123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Pharmacy
Lab Director JON J. ENGELHARDT

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