16D2098637 CLIA NUMBER - GREENE COUNTY FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 16D2098637
  • Facility Name: GREENE COUNTY FAMILY MEDICINE
  • Facility Address: 1000 W LINCOLN WAY, SUITE 100
    JEFFERSON, IA
    ZIP 50129
  • Facility Phone: 515 386-0500
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JO HART
  • NPI Number: 1649378621
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2098637
LAB Type Rural Health Clinic
Facility Name GREENE COUNTY FAMILY MEDICINE
Street 1000 W LINCOLN WAY, SUITE 100
City JEFFERSON
State IA
ZIP 50129
Phone 515 386-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Rural Health Clinic
Lab Director JO HART

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