16D1076320 CLIA NUMBER - WAVERLY HEALTH CENTER NASHUA CLINIC

Laboratory Demographics

  • CLIA Code: 16D1076320
  • Facility Name: WAVERLY HEALTH CENTER NASHUA CLINIC
  • Facility Address: 80 AMHEARST BOULEVARD, SUITE 400
    NASHUA, IA
    ZIP 50658
  • Facility Phone: 641 435-4133
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TARA J. HENSLEY
  • NPI Number: 1447432174
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1076320
LAB Type Community Clinic
Facility Name WAVERLY HEALTH CENTER NASHUA CLINIC
Street 80 AMHEARST BOULEVARD, SUITE 400
City NASHUA
State IA
ZIP 50658
Phone 641 435-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Community Clinic
Lab Director TARA J. HENSLEY

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