24D2148696 CLIA NUMBER - NUDAK VENTURES, LLC DBA NUCARA PHARMACY #38

Laboratory Demographics

  • CLIA Code: 24D2148696
  • Facility Name: NUDAK VENTURES, LLC DBA NUCARA PHARMACY #38
  • Facility Address: 1106 HOBART STREET
    HAWLEY, MN
    ZIP 56549
  • Facility Phone: 218 486-4663
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNN GRANI
  • NPI Number: 1689095952
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2148696
LAB Type Pharmacy
Facility Name NUDAK VENTURES, LLC DBA NUCARA PHARMACY #38
Street 1106 HOBART STREET
City HAWLEY
State MN
ZIP 56549
Phone 218 486-4663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Pharmacy
Lab Director LYNN GRANI

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