16D0038621 CLIA NUMBER - SPENCER HOSPITAL

Laboratory Demographics

  • CLIA Code: 16D0038621
  • Facility Name: SPENCER HOSPITAL
  • Facility Address: 1200 FIRST AVENUE EAST
    SPENCER, IA
    ZIP 51301
  • Facility Phone: 712 264-6174
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: NICHOLAS J. OLSON
  • NPI Number: 1225468812
  • Taxonomy: 204E00000X - Oral & Maxillofacial Surgery

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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 712 264-6174
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospital
Lab Director NICHOLAS J. OLSON

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