16D2016888 CLIA NUMBER - ST GREGORY RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 16D2016888
  • Facility Name: ST GREGORY RECOVERY CENTER
  • Facility Address: 601 2ND STREET, PO BOX 310
    BAYARD, IA
    ZIP 50029
  • Facility Phone: 888 778-5833
  • Facility Type: Other - INPATIENT TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: DAVID NYSTROM
  • NPI Number: 1629525308
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2016888
LAB Type Other - INPATIENT TREATMENT FAC
Facility Name ST GREGORY RECOVERY CENTER
Street 601 2ND STREET, PO BOX 310
City BAYARD
State IA
ZIP 50029
Phone 888 778-5833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Other - INPATIENT TREATMENT FAC
Lab Director DAVID NYSTROM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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