16D0385918 CLIA NUMBER - MONTGOMERY COUNTY MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 16D0385918
  • Facility Name: MONTGOMERY COUNTY MEMORIAL HOSPITAL
  • Facility Address: 2301 EASTERN AVENUE
    RED OAK, IA
    ZIP 51566
  • Facility Phone: 712 623-7188
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHANE KOHL
  • NPI Number: 1376539338
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 16D0385918
LAB Type Hospital
Facility Name MONTGOMERY COUNTY MEMORIAL HOSPITAL
Street 2301 EASTERN AVENUE
City RED OAK
State IA
ZIP 51566
Phone 712 623-7188
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 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Hospital
Lab Director DR. SHANE KOHL

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