16D2048507 CLIA NUMBER - STORY CITY FIRST RESONDERS

Laboratory Demographics

  • CLIA Code: 16D2048507
  • Facility Name: STORY CITY FIRST RESONDERS
  • Facility Address: 512 PARK AVENUE
    STORY CITY, IA
    ZIP 50248
  • Facility Phone: 515 231-5739
  • Facility Type: Other - NON-TRANSPORT SERVICE
  • Facility Type: Waiver
  • Lab Director: KATHY M. TWEDT
  • NPI Number: 1053851907
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 16D2048507
LAB Type Other - NON-TRANSPORT SERVICE
Facility Name STORY CITY FIRST RESONDERS
Street 512 PARK AVENUE
City STORY CITY
State IA
ZIP 50248
Phone 515 231-5739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other - NON-TRANSPORT SERVICE
Lab Director KATHY M. TWEDT

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