43D2214636 CLIA NUMBER - CORNWELL DRUG

Laboratory Demographics

  • CLIA Code: 43D2214636
  • Facility Name: CORNWELL DRUG
  • Facility Address: 701 MAIN ST
    WEBSTER, SD
    ZIP 57274
  • Facility Phone: 605 345-3351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT KWASNIEWSKI
  • NPI Number: 1659361640
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2214636
LAB Type Pharmacy
Facility Name CORNWELL DRUG
Street 701 MAIN ST
City WEBSTER
State SD
ZIP 57274
Phone 605 345-3351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Pharmacy
Lab Director ROBERT KWASNIEWSKI

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