16D1097220 CLIA NUMBER - WAVERLY HEALTH CENTER WALK-IN CLINIC

Laboratory Demographics

CLIA Number: 16D1097220

Facility Name: WAVERLY HEALTH CENTER WALK-IN CLINIC

Facility Address:
312 NINTH STREET SW SUITE 3300
WAVERLY, IA
ZIP 50677
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Facility Phone Number: 319 483-1400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316241615

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D1097220
LAB Type	Physician Office
Facility Name	WAVERLY HEALTH CENTER WALK-IN CLINIC
Street	312 NINTH STREET SW SUITE 3300
City	WAVERLY
State	IA
ZIP	50677
Phone	319 483-1400
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

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