16D2104325 CLIA NUMBER - WAVERLY HEALTH CENTER DBA JANESVILLE CLINIC

Laboratory Demographics

  • CLIA Code: 16D2104325
  • Facility Name: WAVERLY HEALTH CENTER DBA JANESVILLE CLINIC
  • Facility Address: 202 WILDCAT WAY
    JANESVILLE, IA
    ZIP 50647
  • Facility Phone: 319 987-2361
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN JACQUE
  • NPI Number: 1184094534
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2104325
LAB Type Physician Office
Facility Name WAVERLY HEALTH CENTER DBA JANESVILLE CLINIC
Street 202 WILDCAT WAY
City JANESVILLE
State IA
ZIP 50647
Phone 319 987-2361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director ELLEN JACQUE

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