16D2072222 CLIA NUMBER - WILLIAMSBURG FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 16D2072222
  • Facility Name: WILLIAMSBURG FAMILY MEDICAL CLINIC
  • Facility Address: 498 N HIGHLAND STREET
    WILLIAMSBURG, IA
    ZIP 52361
  • Facility Phone: 319 668-6789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN W. NEWBERRY
  • NPI Number: 1548681216
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2072222
LAB Type Physician Office
Facility Name WILLIAMSBURG FAMILY MEDICAL CLINIC
Street 498 N HIGHLAND STREET
City WILLIAMSBURG
State IA
ZIP 52361
Phone 319 668-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director JONATHAN W. NEWBERRY

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