16D2087063 CLIA NUMBER - CHEROKEE DISTRIBUTION CENTER

Laboratory Demographics

  • CLIA Code: 16D2087063
  • Facility Name: CHEROKEE DISTRIBUTION CENTER
  • Facility Address: 1010 RIVERVIEW DRIVE
    CHEROKEE, IA
    ZIP 51012
  • Facility Phone: 712 225-5706
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH PETERSON
  • NPI Number: 1316277874
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2087063
LAB Type Pharmacy
Facility Name CHEROKEE DISTRIBUTION CENTER
Street 1010 RIVERVIEW DRIVE
City CHEROKEE
State IA
ZIP 51012
Phone 712 225-5706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Pharmacy
Lab Director SARAH PETERSON

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This page was last updated on: 6/4/2025