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

Laboratory Demographics

  • CLIA Code: 16D1053312
  • Facility Name: WAVERLY HEALTH CENTER D/B/A SHELL ROCK CLINIC
  • Facility Address: 1001 MASON WAY
    SHELL ROCK, IA
    ZIP 50670
  • Facility Phone: 319 885-6530
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. SHANNON HULL
  • NPI Number: 1871860569
  • Taxonomy: 261QR1300X - Clinic/Center

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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
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 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Rural Health Clinic
Lab Director DR. SHANNON HULL

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This page was last updated on: 6/4/2025