16D0897766 CLIA NUMBER - MOUNT AYR MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D0897766
  • Facility Name: MOUNT AYR MEDICAL CLINIC
  • Facility Address: 504 NORTH CLEVELAND, SUITE M
    MOUNT AYR, IA
    ZIP 50854
  • Facility Phone: 641 464-2330
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATHLEEN WILLCOX
  • NPI Number: 1255355848
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 16D0897766
LAB Type Rural Health Clinic
Facility Name MOUNT AYR MEDICAL CLINIC
Street 504 NORTH CLEVELAND, SUITE M
City MOUNT AYR
State IA
ZIP 50854
Phone 641 464-2330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Rural Health Clinic
Lab Director KATHLEEN WILLCOX

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