16D0719224 CLIA NUMBER - IOWA COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D0719224
  • Facility Name: IOWA COUNTY AMBULANCE
  • Facility Address: 355 W LUCAS STREET
    MARENGO, IA
    ZIP 52301
  • Facility Phone: 319 741-6105
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY MOMANY
  • NPI Number: 1134539760
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0719224
LAB Type Other
Facility Name IOWA COUNTY AMBULANCE
Street 355 W LUCAS STREET
City MARENGO
State IA
ZIP 52301
Phone 319 741-6105
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
Lab Director TIMOTHY MOMANY

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