16D0385988 CLIA NUMBER - MEDICAL CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 16D0385988
  • Facility Name: MEDICAL CLINIC, LLC
  • Facility Address: 313 MAIN STREET
    SIDNEY, IA
    ZIP 51652
  • Facility Phone: 712 374-2649
  • Facility Type: Rural Health Clinic
  • Facility Type: Accreditation
  • Lab Director: KELLI WOLTEMATH
  • NPI Number: 1871566265
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0385988
LAB Type Rural Health Clinic
Facility Name MEDICAL CLINIC, LLC
Street 313 MAIN STREET
City SIDNEY
State IA
ZIP 51652
Phone 712 374-2649
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Rural Health Clinic
Lab Director KELLI WOLTEMATH

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