16D0385439 CLIA NUMBER - AVERA MEDICAL GROUP SIBLEY

Laboratory Demographics

  • CLIA Code: 16D0385439
  • Facility Name: AVERA MEDICAL GROUP SIBLEY
  • Facility Address: 600 9TH AVENUE NORTH PO BOX 277
    SIBLEY, IA
    ZIP 51249
  • Facility Phone: 712 754-2900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RACHAEL WILCINOT
  • NPI Number: 1417250762
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0385439
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP SIBLEY
Street 600 9TH AVENUE NORTH PO BOX 277
City SIBLEY
State IA
ZIP 51249
Phone 712 754-2900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. RACHAEL WILCINOT

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