16D1082764 CLIA NUMBER - HAWARDEN REGIONAL HEALTHCARE CLINIC-IRETON HAWARDEN REGIONAL HEALTHCARE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 16D1082764
  • Facility Name: HAWARDEN REGIONAL HEALTHCARE CLINIC-IRETON HAWARDEN REGIONAL HEALTHCARE CLINIC, LLC
  • Facility Address: 318 MAIN STREET
    IRETON, IA
    ZIP 51027
  • Facility Phone: 712 551-3100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DALE P. NYSTROM
  • NPI Number: 1720280928
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 16D1082764
LAB Type Community Clinic
Facility Name HAWARDEN REGIONAL HEALTHCARE CLINIC-IRETON HAWARDEN REGIONAL HEALTHCARE CLINIC, LLC
Street 318 MAIN STREET
City IRETON
State IA
ZIP 51027
Phone 712 551-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Community Clinic
Lab Director DALE P. NYSTROM

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