16D0382550 CLIA NUMBER - ANITA MEDICAL CENTER CASS COUNTY MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 16D0382550
  • Facility Name: ANITA MEDICAL CENTER CASS COUNTY MEMORIAL HOSPITAL
  • Facility Address: 720 MAIN STREET
    ANITA, IA
    ZIP 50020
  • Facility Phone: 712 762-4462
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MITCHELL WHILEY
  • NPI Number: 1649471699
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0382550
LAB Type Rural Health Clinic
Facility Name ANITA MEDICAL CENTER CASS COUNTY MEMORIAL HOSPITAL
Street 720 MAIN STREET
City ANITA
State IA
ZIP 50020
Phone 712 762-4462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Rural Health Clinic
Lab Director MITCHELL WHILEY

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