16D0383035 CLIA NUMBER - BOONE COUNTY FAMILY MEDICINE OGDEN

Laboratory Demographics

  • CLIA Code: 16D0383035
  • Facility Name: BOONE COUNTY FAMILY MEDICINE OGDEN
  • Facility Address: 320 WEST WALNUT STREET
    OGDEN, IA
    ZIP 50212
  • Facility Phone: 515 275-2417
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAYDEE HERNANDEZ
  • NPI Number: 1730503319
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0383035
LAB Type Physician Office
Facility Name BOONE COUNTY FAMILY MEDICINE OGDEN
Street 320 WEST WALNUT STREET
City OGDEN
State IA
ZIP 50212
Phone 515 275-2417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HAYDEE HERNANDEZ

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