16D0385515 CLIA NUMBER - AVERA HOLY FAMILY HOSPITAL

Laboratory Demographics

  • CLIA Code: 16D0385515
  • Facility Name: AVERA HOLY FAMILY HOSPITAL
  • Facility Address: 826 NORTH EIGHTH STREET
    ESTHERVILLE, IA
    ZIP 51334
  • Facility Phone: 712 362-6469
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: PRASUNA MUPPA
  • NPI Number: 1720001936
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0385515
LAB Type Hospital
Facility Name AVERA HOLY FAMILY HOSPITAL
Street 826 NORTH EIGHTH STREET
City ESTHERVILLE
State IA
ZIP 51334
Phone 712 362-6469
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/21/2023
Certificate Expiration Date 9/20/2025
Facility Type Hospital
Lab Director PRASUNA MUPPA

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This page was last updated on: 3/20/2025