16D0385692 CLIA NUMBER - ST ANTHONY CLINIC WESTSIDE

Laboratory Demographics

  • CLIA Code: 16D0385692
  • Facility Name: ST ANTHONY CLINIC WESTSIDE
  • Facility Address: 235 HIGHWAY 30 WEST
    WESTSIDE, IA
    ZIP 51467
  • Facility Phone: 712 663-4371
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JILLIANNE M. MURRAY
  • NPI Number: 1770656860
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0385692
LAB Type Physician Office
Facility Name ST ANTHONY CLINIC WESTSIDE
Street 235 HIGHWAY 30 WEST
City WESTSIDE
State IA
ZIP 51467
Phone 712 663-4371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director JILLIANNE M. MURRAY

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