16D2087685 CLIA NUMBER - HALSTEDS PC DBA GROETKEN FAMILY EYE CARE

Laboratory Demographics

  • CLIA Code: 16D2087685
  • Facility Name: HALSTEDS PC DBA GROETKEN FAMILY EYE CARE
  • Facility Address: 16 CENTRAL AVENUE NE
    LE MARS, IA
    ZIP 51031
  • Facility Phone: 712 546-8998
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELIZABETH GROETKEN
  • NPI Number: 1578744256
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 16D2087685
LAB Type Practitioner Other
Facility Name HALSTEDS PC DBA GROETKEN FAMILY EYE CARE
Street 16 CENTRAL AVENUE NE
City LE MARS
State IA
ZIP 51031
Phone 712 546-8998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Practitioner Other
Lab Director ELIZABETH GROETKEN

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