16D0387780 CLIA NUMBER - UNITYPOINT HEALTH FAMILY MEDICINE CLINIC - TIPTON

Laboratory Demographics

CLIA Number: 16D0387780

Facility Name: UNITYPOINT HEALTH FAMILY MEDICINE CLINIC - TIPTON

Facility Address:
1412 CEDAR STREET
TIPTON, IA
ZIP 52772
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Facility Phone Number: 563 886-2182

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1194249920

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 16D0387780
LAB Type Physician Office
Facility Name UNITYPOINT HEALTH FAMILY MEDICINE CLINIC - TIPTON
Street 1412 CEDAR STREET
City TIPTON
State IA
ZIP 52772
Phone 563 886-2182
CertificateType 3
CertificateEffectiveDate 3/1/2024
CertificateExpirationDate 2/28/2026
FacilityType PPMP

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