Healther Providers Data Logo

16D0385839 CLIA NUMBER - METHODIST PHYSICIANS CLINIC - GLENWOOD

Laboratory Demographics

CLIA Number: 16D0385839

Facility Name: METHODIST PHYSICIANS CLINIC - GLENWOOD

Facility Address:
320 EBAUGH STREET
GLENWOOD, IA
ZIP 51534
Get Directions

Facility Phone Number: 712 527-5204

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1932342706

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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
CertificateType 1
CertificateEffectiveDate 6/3/2023
CertificateExpirationDate 6/2/2025
FacilityType Accreditation

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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