16D0996669 CLIA NUMBER - MARENGO FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D0996669
  • Facility Name: MARENGO FAMILY MEDICAL CLINIC
  • Facility Address: 300 WEST MAY STREET, SUITE A
    MARENGO, IA
    ZIP 52301
  • Facility Phone: 319 741-6789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN W. NEWBERRY
  • NPI Number: 1043375132
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0996669
LAB Type Physician Office
Facility Name MARENGO FAMILY MEDICAL CLINIC
Street 300 WEST MAY STREET, SUITE A
City MARENGO
State IA
ZIP 52301
Phone 319 741-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director JONATHAN W. NEWBERRY

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