16D0387197 CLIA NUMBER - JCHC CLINICS

Laboratory Demographics

  • CLIA Code: 16D0387197
  • Facility Name: JCHC CLINICS
  • Facility Address: 2000 C SOUTH MAIN
    FAIRFIELD, IA
    ZIP 52556
  • Facility Phone: 641 472-4141
  • Facility Type: Mobile Laboratory
  • Facility Type: Microscopy
  • Lab Director: DAVID K. LARSON, MD
  • NPI Number: 1053284299
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0387197
LAB Type Mobile Laboratory
Facility Name JCHC CLINICS
Street 2000 C SOUTH MAIN
City FAIRFIELD
State IA
ZIP 52556
Phone 641 472-4141
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Mobile Laboratory
Lab Director DAVID K. LARSON, MD

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