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

Laboratory Demographics

  • CLIA Code: 16D0387780
  • Facility Name: UNITYPOINT HEALTH FAMILY MEDICINE CLINIC - TIPTON
  • Facility Address: 1412 CEDAR STREET
    TIPTON, IA
    ZIP 52772
  • Facility Phone: 563 886-2182
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBYN NEBERGALL, PA-C
  • NPI Number: 1194249920
  • Taxonomy: 261QR1300X - Clinic/Center

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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
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 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director ROBYN NEBERGALL, PA-C

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This page was last updated on: 6/4/2025