16D0701411 CLIA NUMBER - RINGGOLD COUNTY PHN AGENCY

Laboratory Demographics

  • CLIA Code: 16D0701411
  • Facility Name: RINGGOLD COUNTY PHN AGENCY
  • Facility Address: 109 W MADISON
    MOUNT AYR, IA
    ZIP 50854
  • Facility Phone: 641 464-0691
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BECKY FLETCHALL
  • NPI Number: 1124011333
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0701411
LAB Type Home Health Agency
Facility Name RINGGOLD COUNTY PHN AGENCY
Street 109 W MADISON
City MOUNT AYR
State IA
ZIP 50854
Phone 641 464-0691
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 BECKY FLETCHALL

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