16D0923696 CLIA NUMBER - INDIANOLA FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 16D0923696
  • Facility Name: INDIANOLA FIRE DEPARTMENT
  • Facility Address: 110 NORTH FIRST STREET P O BOX 299
    INDIANOLA, IA
    ZIP 50125
  • Facility Phone: 515 961-9405
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHARLES L. DAVEY
  • NPI Number: 1538719075
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 16D0923696
LAB Type Other
Facility Name INDIANOLA FIRE DEPARTMENT
Street 110 NORTH FIRST STREET P O BOX 299
City INDIANOLA
State IA
ZIP 50125
Phone 515 961-9405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other
Lab Director CHARLES L. DAVEY

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