16D0382708 CLIA NUMBER - SOUTH CENTRAL IOWA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D0382708
  • Facility Name: SOUTH CENTRAL IOWA MEDICAL CLINIC
  • Facility Address: 417 SOUTH EAST STREET SUITE 100 PO BOX 365
    CORYDON, IA
    ZIP 50060
  • Facility Phone: 641 872-2063
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHANIE MAHAN
  • NPI Number: 1104125822
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0382708
LAB Type Physician Office
Facility Name SOUTH CENTRAL IOWA MEDICAL CLINIC
Street 417 SOUTH EAST STREET SUITE 100 PO BOX 365
City CORYDON
State IA
ZIP 50060
Phone 641 872-2063
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 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director STEPHANIE MAHAN

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