16D0386734 CLIA NUMBER - UNITYPOINT CLINIC FAMILY MEDICINE - VINTON

Laboratory Demographics

CLIA Number: 16D0386734

Facility Name: UNITYPOINT CLINIC FAMILY MEDICINE - VINTON

Facility Address:
1803 C AVENUE
VINTON, IA
ZIP 52349
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Facility Phone Number: 319 472-2304

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1306346176

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D0386734
LAB Type	Physician Office
Facility Name	UNITYPOINT CLINIC FAMILY MEDICINE - VINTON
Street	1803 C AVENUE
City	VINTON
State	IA
ZIP	52349
Phone	319 472-2304
CertificateType	3
CertificateEffectiveDate	1/13/2023
CertificateExpirationDate	1/12/2025
FacilityType	PPMP

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