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

Laboratory Demographics

CLIA Number: 16D0385496

Facility Name: AVERA MEDICAL GROUP SPENCER A DEPARTMENT OF SPENCER HOSPITAL

Facility Address:
116 EAST 11TH STREET, SUITE 101
SPENCER, IA
ZIP 51301
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Facility Phone Number: 712 264-3500

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1902886567

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

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