16D0384358 CLIA NUMBER - UNITYPOINT CLINIC FAMILY MEDICINE POCAHONTAS

Laboratory Demographics

CLIA Number: 16D0384358

Facility Name: UNITYPOINT CLINIC FAMILY MEDICINE POCAHONTAS

Facility Address:
608 NW SEVENTH STREET
POCAHONTAS, IA
ZIP 50574
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Facility Phone Number: 712 335-3534

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1902350283

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D0384358
LAB Type	Rural Health Clinic
Facility Name	UNITYPOINT CLINIC FAMILY MEDICINE POCAHONTAS
Street	608 NW SEVENTH STREET
City	POCAHONTAS
State	IA
ZIP	50574
Phone	712 335-3534
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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