16D0385496 CLIA NUMBER - AVERA MEDICAL GROUP SPENCER A DEPARTMENT OF SPENCER HOSPITAL

Laboratory Demographics

  • CLIA Code: 16D0385496
  • Facility Name: AVERA MEDICAL GROUP SPENCER A DEPARTMENT OF SPENCER HOSPITAL
  • Facility Address: 116 EAST 11TH STREET, SUITE 101
    SPENCER, IA
    ZIP 51301
  • Facility Phone: 712 264-3500
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KELSEY BENEKE
  • NPI Number: 1902886567
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0385496
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP SPENCER A DEPARTMENT OF SPENCER HOSPITAL
Street 116 EAST 11TH STREET, SUITE 101
City SPENCER
State IA
ZIP 51301
Phone 712 264-3500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director KELSEY BENEKE

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