16D0931876 CLIA NUMBER - PEOPLES COMMUNITY HEALTH CLINIC

Laboratory Demographics

CLIA Number: 16D0931876

Facility Name: PEOPLES COMMUNITY HEALTH CLINIC

Facility Address:
905 FRANKLIN STREET
WATERLOO, IA
ZIP 50703
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Facility Phone Number: 319 874-3000

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1093703639

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D0931876
LAB Type	Federally Qualified Health Center
Facility Name	PEOPLES COMMUNITY HEALTH CLINIC
Street	905 FRANKLIN STREET
City	WATERLOO
State	IA
ZIP	50703
Phone	319 874-3000
CertificateType	4
CertificateEffectiveDate	8/6/2023
CertificateExpirationDate	8/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024