16D0682572 CLIA NUMBER - BCHC FAMILY MEDICINE- OELWEIN

Laboratory Demographics

  • CLIA Code: 16D0682572
  • Facility Name: BCHC FAMILY MEDICINE- OELWEIN
  • Facility Address: 2405 ROCK ISLAND ROAD
    OELWEIN, IA
    ZIP 50662
  • Facility Phone: 319 283-2651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACK R. OBRIEN
  • NPI Number: 1558920447
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0682572
LAB Type Physician Office
Facility Name BCHC FAMILY MEDICINE- OELWEIN
Street 2405 ROCK ISLAND ROAD
City OELWEIN
State IA
ZIP 50662
Phone 319 283-2651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director JACK R. OBRIEN

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