16D1002370 CLIA NUMBER - WATERLOO OPC

Laboratory Demographics

  • CLIA Code: 16D1002370
  • Facility Name: WATERLOO OPC
  • Facility Address: 4000 UNIVERSITY AVE STE 100
    WATERLOO, IA
    ZIP 50701
  • Facility Phone: 319 272-2424
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: GRANT BULLOCK
  • NPI Number: 1225669302
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D1002370
LAB Type Community Clinic
Facility Name WATERLOO OPC
Street 4000 UNIVERSITY AVE STE 100
City WATERLOO
State IA
ZIP 50701
Phone 319 272-2424
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/6/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director GRANT BULLOCK

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