16D0648160 CLIA NUMBER - CEDAR COUNTY PHNS

Laboratory Demographics

  • CLIA Code: 16D0648160
  • Facility Name: CEDAR COUNTY PHNS
  • Facility Address: 400 CEDAR STREET
    TIPTON, IA
    ZIP 52772
  • Facility Phone: 563 886-2226
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: STEFANIE WAGAMAN
  • NPI Number: 1912939620
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0648160
LAB Type Home Health Agency
Facility Name CEDAR COUNTY PHNS
Street 400 CEDAR STREET
City TIPTON
State IA
ZIP 52772
Phone 563 886-2226
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 STEFANIE WAGAMAN

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