16D0387110 CLIA NUMBER - RCHP-OTTUMWA, LLC

Laboratory Demographics

  • CLIA Code: 16D0387110
  • Facility Name: RCHP-OTTUMWA, LLC
  • Facility Address: 1001 EAST PENNSYLVANIA AVENUE
    OTTUMWA, IA
    ZIP 52501
  • Facility Phone: 641 684-2300
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: TIFFANY R. ANDERSON
  • NPI Number: 1538487160
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0387110
LAB Type Ancillary Testing Site in Health Care Center
Facility Name RCHP-OTTUMWA, LLC
Street 1001 EAST PENNSYLVANIA AVENUE
City OTTUMWA
State IA
ZIP 52501
Phone 641 684-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director TIFFANY R. ANDERSON

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