16D2105334 CLIA NUMBER - GREATER REGIONAL MEDICAL CENTER EMERGENCY ROOM

Laboratory Demographics

CLIA Number: 16D2105334

Facility Name: GREATER REGIONAL MEDICAL CENTER EMERGENCY ROOM

Facility Address:
1700 WEST TOWNLINE ST - ER
CRESTON, IA
ZIP 50801
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Facility Phone Number: 641 782-3535

Facility Type: Other - EMERGENCY ROOM

Certificate Type: Certificate of Compliance

NPI Number: 1902805062

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	16D2105334
LAB Type	Other - EMERGENCY ROOM
Facility Name	GREATER REGIONAL MEDICAL CENTER EMERGENCY ROOM
Street	1700 WEST TOWNLINE ST - ER
City	CRESTON
State	IA
ZIP	50801
Phone	641 782-3535
CertificateType	2
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Compliance

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