16D1102258 CLIA NUMBER - MCH CLINIC

Laboratory Demographics

  • CLIA Code: 16D1102258
  • Facility Name: MCH CLINIC
  • Facility Address: 6582 165TH STREET
    ALBIA, IA
    ZIP 52531
  • Facility Phone: 641 932-7172
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENDRA C. MARTIN
  • NPI Number: 1245469378
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1102258
LAB Type Physician Office
Facility Name MCH CLINIC
Street 6582 165TH STREET
City ALBIA
State IA
ZIP 52531
Phone 641 932-7172
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 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director KENDRA C. MARTIN

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