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16D0038621 CLIA NUMBER - SPENCER HOSPITAL

Laboratory Demographics

CLIA Number: 16D0038621

Facility Name: SPENCER HOSPITAL

Facility Address:
1200 FIRST AVENUE EAST
SPENCER, IA
ZIP 51301
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Facility Phone Number: 712 264-6173

Facility Type: Hospital

Certificate Type: Certificate of Compliance
NPI Number: 1225468812

Taxonomy: 204E00000X - Oral & Maxillofacial Surgery
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

CLIA Record

Field Name Field Value
CLIA Number 16D0038621
LAB Type Hospital
Facility Name SPENCER HOSPITAL
Street 1200 FIRST AVENUE EAST
City SPENCER
State IA
ZIP 51301
Phone 712 264-6173
CertificateType 2
CertificateEffectiveDate 4/28/2023
CertificateExpirationDate 4/27/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024