WEST LIBERTY
NPI 1619966405
Pharmacy in West Liberty, IA

Q: What is Mcld Corporation's NPI number?

The NPI number for Mcld Corporation is 1619966405. It was assigned to this organization in the NPPES registry on October 14, 2005. The provider is doing business as West Liberty.

Q: What is Mcld Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Mcld Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2005CLIA 16D1066874 · Waiver

105 E 3RD ST, WEST LIBERTY, IA 52776(319) 465-4906 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About West Liberty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST LIBERTY (NPI 1619966405) is a healthcare organization registered as a pharmacy in West Liberty, Iowa and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Christopher Phillip Tuetken, Pharmacist Owner, as its authorized official.

NPPES Registry Identity

NPI1619966405

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMCLD CORPORATION

Location Address105 E 3RD STWest Liberty, IA 52776-1401

Mailing Address105 E 3rd StWest Liberty, IA 52776-1401 · (319) 627-4317 · Fax (319) 627-2037

Phone(319) 465-4906

Organization SubpartNo

Authorized OfficialChristopher Phillip TuetkenPharmacist Owner · (319) 465-4906

Enumeration DateOctober 14, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619966405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

105 E 3RD ST, West Liberty, IA 52776

Open in Google Maps ↗

Other Names 1

Doing Business AsWest Liberty

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1066874

West Liberty Assisted Living Residence · West Liberty, IA

Active · expires Apr 4, 2027

CLIA Number16D1066874

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 5, 2025

Certificate Expiration DateApril 4, 2027

Laboratory DirectorMelissa Hazelwood

Laboratory Phone(319) 627-4775

Laboratory LocationWest Liberty Assisted Living Residence1000 North Miller Street, West Liberty, IA 52776

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcld Corporation's NPI number?

The NPI number for Mcld Corporation is 1619966405. It was assigned to this organization in the NPPES registry on October 14, 2005. The provider is doing business as West Liberty.

Where is Mcld Corporation located?

Mcld Corporation is located at 105 E 3rd St, West Liberty, IA 52776. The listed phone number is (319) 465-4906.

What is Mcld Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Mcld Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1066874) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcld Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.