16D0959061 CLIA NUMBER - SEYMOUR MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D0959061
  • Facility Name: SEYMOUR MEDICAL CLINIC
  • Facility Address: 515 W WALL ST
    SEYMOUR, IA
    ZIP 52590
  • Facility Phone: 641 898-2898
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: LYLIA POLAND
  • NPI Number: 1780873919
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0959061
LAB Type Rural Health Clinic
Facility Name SEYMOUR MEDICAL CLINIC
Street 515 W WALL ST
City SEYMOUR
State IA
ZIP 52590
Phone 641 898-2898
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 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Rural Health Clinic
Lab Director LYLIA POLAND

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