16D0947407 CLIA NUMBER - EARLHAM MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D0947407
  • Facility Name: EARLHAM MEDICAL CLINIC
  • Facility Address: 125 WEST FIRST STREET
    EARLHAM, IA
    ZIP 50072
  • Facility Phone: 515 758-2907
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JENNIFER J. ELKIN
  • NPI Number: 1497810097
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0947407
LAB Type Rural Health Clinic
Facility Name EARLHAM MEDICAL CLINIC
Street 125 WEST FIRST STREET
City EARLHAM
State IA
ZIP 50072
Phone 515 758-2907
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Rural Health Clinic
Lab Director JENNIFER J. ELKIN

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