16D0706113 CLIA NUMBER - PROGRESS INDUSTRIES

Laboratory Demographics

  • CLIA Code: 16D0706113
  • Facility Name: PROGRESS INDUSTRIES
  • Facility Address: 202 N 3RD AVENUE WEST C/O PAM HACKATHORN RN
    NEWTON, IA
    ZIP 50208
  • Facility Phone: 641 792-6119
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: PAM HACKATHORN
  • NPI Number: 1871671339
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0706113
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PROGRESS INDUSTRIES
Street 202 N 3RD AVENUE WEST C/O PAM HACKATHORN RN
City NEWTON
State IA
ZIP 50208
Phone 641 792-6119
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 Intermediate Care Facility for Mentally Retarded
Lab Director PAM HACKATHORN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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