16D0385839 CLIA NUMBER - METHODIST PHYSICIANS CLINIC - GLENWOOD

Laboratory Demographics

  • CLIA Code: 16D0385839
  • Facility Name: METHODIST PHYSICIANS CLINIC - GLENWOOD
  • Facility Address: 320 EBAUGH STREET
    GLENWOOD, IA
    ZIP 51534
  • Facility Phone: 712 527-5204
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. TIA A. BRANDENBURG
  • NPI Number: 1023105855
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 16D0385839
LAB Type Physician Office
Facility Name METHODIST PHYSICIANS CLINIC - GLENWOOD
Street 320 EBAUGH STREET
City GLENWOOD
State IA
ZIP 51534
Phone 712 527-5204
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 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director MS. TIA A. BRANDENBURG

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