16D1053312 CLIA NUMBER - WAVERLY HEALTH CENTER D/B/A SHELL ROCK CLINIC

Laboratory Demographics

CLIA Number: 16D1053312

Facility Name: WAVERLY HEALTH CENTER D/B/A SHELL ROCK CLINIC

Facility Address:
1001 MASON WAY
SHELL ROCK, IA
ZIP 50670
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Facility Phone Number: 319 885-6530

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1871860569

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D1053312
LAB Type	Rural Health Clinic
Facility Name	WAVERLY HEALTH CENTER D/B/A SHELL ROCK CLINIC
Street	1001 MASON WAY
City	SHELL ROCK
State	IA
ZIP	50670
Phone	319 885-6530
CertificateType	3
CertificateEffectiveDate	5/20/2022
CertificateExpirationDate	5/19/2024
FacilityType	PPMP

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