16D0857658 CLIA NUMBER - LINN COUNTY CORRECTIONAL CENTER HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 16D0857658
  • Facility Name: LINN COUNTY CORRECTIONAL CENTER HEALTH CENTER
  • Facility Address: 53 THIRD AVENUE BRIDGE
    CEDAR RAPIDS, IA
    ZIP 52406
  • Facility Phone: 319 892-6304
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: KELLY EHRISMAN
  • NPI Number: 1679521124
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0857658
LAB Type Prison
Facility Name LINN COUNTY CORRECTIONAL CENTER HEALTH CENTER
Street 53 THIRD AVENUE BRIDGE
City CEDAR RAPIDS
State IA
ZIP 52406
Phone 319 892-6304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Prison
Lab Director KELLY EHRISMAN

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