24D2068579 CLIA NUMBER - NUCARA PHARMACY #23

Laboratory Demographics

  • CLIA Code: 24D2068579
  • Facility Name: NUCARA PHARMACY #23
  • Facility Address: 216 WASHBURNE AVE
    PAYNESVILLE, MN
    ZIP 56362
  • Facility Phone: 320 243-3781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEE LANDSTEINER
  • NPI Number: 1639251424
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2068579
LAB Type Pharmacy
Facility Name NUCARA PHARMACY #23
Street 216 WASHBURNE AVE
City PAYNESVILLE
State MN
ZIP 56362
Phone 320 243-3781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director LEE LANDSTEINER

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