16D2101751 CLIA NUMBER - NICK HILDRETH MEMORIAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 16D2101751
  • Facility Name: NICK HILDRETH MEMORIAL CLINIC LLC
  • Facility Address: 401 COURT STREET
    ROCKWELL CITY, IA
    ZIP 50579
  • Facility Phone: 515 571-3144
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KYLIE J. HILDRETH-ROTHMEIER
  • NPI Number: 1689041329
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 16D2101751
LAB Type Practitioner Other
Facility Name NICK HILDRETH MEMORIAL CLINIC LLC
Street 401 COURT STREET
City ROCKWELL CITY
State IA
ZIP 50579
Phone 515 571-3144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Practitioner Other
Lab Director KYLIE J. HILDRETH-ROTHMEIER

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