16D0647951 CLIA NUMBER - WORTH COUNTY PHNS

Laboratory Demographics

  • CLIA Code: 16D0647951
  • Facility Name: WORTH COUNTY PHNS
  • Facility Address: 95 NINTH STREET NORTH
    NORTHWOOD, IA
    ZIP 50459
  • Facility Phone: 641 324-1741
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHANA BUTLER
  • NPI Number: 1295730042
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0647951
LAB Type Home Health Agency
Facility Name WORTH COUNTY PHNS
Street 95 NINTH STREET NORTH
City NORTHWOOD
State IA
ZIP 50459
Phone 641 324-1741
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 Home Health Agency
Lab Director SHANA BUTLER

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