16D0666202 CLIA NUMBER - WOODWARD RESOURCE CENTER

Laboratory Demographics

  • CLIA Code: 16D0666202
  • Facility Name: WOODWARD RESOURCE CENTER
  • Facility Address: 1251 334TH STREET
    WOODWARD, IA
    ZIP 50276
  • Facility Phone: 515 438-3622
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Microscopy
  • Lab Director: SOM LERD
  • NPI Number: 1295867091
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0666202
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name WOODWARD RESOURCE CENTER
Street 1251 334TH STREET
City WOODWARD
State IA
ZIP 50276
Phone 515 438-3622
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 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SOM LERD

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