16D0387408 CLIA NUMBER - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - FM

Laboratory Demographics

  • CLIA Code: 16D0387408
  • Facility Name: SOUTHEAST IOWA REGIONAL MEDICAL CENTER - FM
  • Facility Address: 5445 AVENUE O
    FORT MADISON, IA
    ZIP 52627
  • Facility Phone: 319 768-4584
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ALEXANDER D. PEDERSON
  • NPI Number: 1609988617
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0387408
LAB Type Hospital
Facility Name SOUTHEAST IOWA REGIONAL MEDICAL CENTER - FM
Street 5445 AVENUE O
City FORT MADISON
State IA
ZIP 52627
Phone 319 768-4584
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. ALEXANDER D. PEDERSON

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