16D0907398 CLIA NUMBER - MASSENA MEDICAL CENTER CASS COUNTY MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 16D0907398
  • Facility Name: MASSENA MEDICAL CENTER CASS COUNTY MEMORIAL HOSPITAL
  • Facility Address: 92 MAIN STREET
    MASSENA, IA
    ZIP 50853
  • Facility Phone: 712 779-3626
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MITCHELL WHILEY
  • NPI Number: 1447451331
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0907398
LAB Type Rural Health Clinic
Facility Name MASSENA MEDICAL CENTER CASS COUNTY MEMORIAL HOSPITAL
Street 92 MAIN STREET
City MASSENA
State IA
ZIP 50853
Phone 712 779-3626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Rural Health Clinic
Lab Director MITCHELL WHILEY

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