16D2091546 CLIA NUMBER - UI HEALTH CARE- NORTH LIBERTY

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Laboratory Demographics

CLIA Number: 16D2091546

Facility Name: UI HEALTH CARE- NORTH LIBERTY

Facility Address:
1765 LININGER LANE
NORTH LIBERTY, IA
ZIP 52317
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Facility Phone Number: 800 777-8442

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1942339403

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D2091546
LAB Type	Community Clinic
Facility Name	UI HEALTH CARE- NORTH LIBERTY
Street	1765 LININGER LANE
City	NORTH LIBERTY
State	IA
ZIP	52317
Phone	800 777-8442
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024