16D2081919 CLIA NUMBER - CROWN CLINICS, LLC

Laboratory Demographics

  • CLIA Code: 16D2081919
  • Facility Name: CROWN CLINICS, LLC
  • Facility Address: 337 11TH STREET SW
    SPENCER, IA
    ZIP 51301
  • Facility Phone: 712 580-4570
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: SUE A. BRUGMAN
  • NPI Number: 1336554393
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 16D2081919
LAB Type Practitioner Other
Facility Name CROWN CLINICS, LLC
Street 337 11TH STREET SW
City SPENCER
State IA
ZIP 51301
Phone 712 580-4570
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 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Practitioner Other
Lab Director SUE A. BRUGMAN

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