16D0647959 CLIA NUMBER - TRINITY REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 16D0647959
  • Facility Name: TRINITY REGIONAL MEDICAL CENTER
  • Facility Address: 802 KENYON ROAD
    FORT DODGE, IA
    ZIP 50501
  • Facility Phone: 515 573-6520
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JEFFREY T. MALIK
  • NPI Number: 1104344845
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0647959
LAB Type Hospital
Facility Name TRINITY REGIONAL MEDICAL CENTER
Street 802 KENYON ROAD
City FORT DODGE
State IA
ZIP 50501
Phone 515 573-6520
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 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. JEFFREY T. MALIK

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