16D0681658 CLIA NUMBER - UNITYPOINT HEALTH - GRINNELL MONTEZUMA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D0681658
  • Facility Name: UNITYPOINT HEALTH - GRINNELL MONTEZUMA MEDICAL CLINIC
  • Facility Address: 101 W WASHINGTON ST, SUITE 100
    MONTEZUMA, IA
    ZIP 50171
  • Facility Phone: 641 623-5690
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: VICKY L. NORRISH
  • NPI Number: 1528739232
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0681658
LAB Type Rural Health Clinic
Facility Name UNITYPOINT HEALTH - GRINNELL MONTEZUMA MEDICAL CLINIC
Street 101 W WASHINGTON ST, SUITE 100
City MONTEZUMA
State IA
ZIP 50171
Phone 641 623-5690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2023
Certificate Expiration Date 7/24/2025
Facility Type Rural Health Clinic
Lab Director VICKY L. NORRISH

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