16D1088151 CLIA NUMBER - LAURIE GOFF, ARNP MELCHER CLINIC

Laboratory Demographics

  • CLIA Code: 16D1088151
  • Facility Name: LAURIE GOFF, ARNP MELCHER CLINIC
  • Facility Address: 113 NORTH MAIN STREET PO BOX 245
    MELCHER, IA
    ZIP 50163
  • Facility Phone: 641 947-2030
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GLEN HANSON, MD
  • NPI Number: 1750323838
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 16D1088151
LAB Type Practitioner Other
Facility Name LAURIE GOFF, ARNP MELCHER CLINIC
Street 113 NORTH MAIN STREET PO BOX 245
City MELCHER
State IA
ZIP 50163
Phone 641 947-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Practitioner Other
Lab Director GLEN HANSON, MD

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