16D0888561 CLIA NUMBER - ONE VISION

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CLIA Record

Field Name Field Value
CLIA Number 16D0888561
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ONE VISION
Street 1200 NORTH 9TH STREET WEST
City CLEAR LAKE
State IA
ZIP 50428
Phone 641 357-5277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director KELLY R. PELZ

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This page was last updated on: 6/4/2025