16D0901662 CLIA NUMBER - AVERA MEDICAL GROUP LARCHWOOD

Laboratory Demographics

  • CLIA Code: 16D0901662
  • Facility Name: AVERA MEDICAL GROUP LARCHWOOD
  • Facility Address: 916 HOLDER STREET PO BOX 8
    LARCHWOOD, IA
    ZIP 51241
  • Facility Phone: 712 477-2185
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: STACY PRISBE
  • NPI Number: 1871527507
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0901662
LAB Type Physician Office
Facility Name AVERA MEDICAL GROUP LARCHWOOD
Street 916 HOLDER STREET PO BOX 8
City LARCHWOOD
State IA
ZIP 51241
Phone 712 477-2185
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director STACY PRISBE

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