16D0914238 CLIA NUMBER - CHI HEALTH CLINIC GLENWOOD

Laboratory Demographics

  • CLIA Code: 16D0914238
  • Facility Name: CHI HEALTH CLINIC GLENWOOD
  • Facility Address: 1203 SOUTH LOCUST STREET
    GLENWOOD, IA
    ZIP 51534
  • Facility Phone: 712 527-3699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT M. KENT
  • NPI Number: 1225332430
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0914238
LAB Type Physician Office
Facility Name CHI HEALTH CLINIC GLENWOOD
Street 1203 SOUTH LOCUST STREET
City GLENWOOD
State IA
ZIP 51534
Phone 712 527-3699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director ROBERT M. KENT

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