16D2025845 CLIA NUMBER - WAYNE COUNTY HOSPITAL DBA HUMESTON FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D2025845
  • Facility Name: WAYNE COUNTY HOSPITAL DBA HUMESTON FAMILY MEDICAL CLINIC
  • Facility Address: 109 BROAD STREET
    HUMESTON, IA
    ZIP 50123
  • Facility Phone: 641 877-6108
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: BARBARA J. MASTERS
  • NPI Number: 1275825838
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2025845
LAB Type Rural Health Clinic
Facility Name WAYNE COUNTY HOSPITAL DBA HUMESTON FAMILY MEDICAL CLINIC
Street 109 BROAD STREET
City HUMESTON
State IA
ZIP 50123
Phone 641 877-6108
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 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Rural Health Clinic
Lab Director BARBARA J. MASTERS

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