16D0704493 CLIA NUMBER - WEBSTER COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 16D0704493
  • Facility Name: WEBSTER COUNTY HEALTH DEPARTMENT
  • Facility Address: 723 1ST AVENUE SOUTH STE 220
    FORT DODGE, IA
    ZIP 50501
  • Facility Phone: 515 573-4107
  • Facility Type: Other - PUBLIC HEALTH AGENCY
  • Facility Type: Waiver
  • Lab Director: DAVID ILCESKI
  • NPI Number: 1518384122
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 16D0704493
LAB Type Other - PUBLIC HEALTH AGENCY
Facility Name WEBSTER COUNTY HEALTH DEPARTMENT
Street 723 1ST AVENUE SOUTH STE 220
City FORT DODGE
State IA
ZIP 50501
Phone 515 573-4107
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 Other - PUBLIC HEALTH AGENCY
Lab Director DAVID ILCESKI

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This page was last updated on: 3/20/2025