16D2108110 CLIA NUMBER - CERRO GORDO COUNTY SHERIFF'S OFFICE

Laboratory Demographics

  • CLIA Code: 16D2108110
  • Facility Name: CERRO GORDO COUNTY SHERIFF'S OFFICE
  • Facility Address: 17262 LARK AVENUE
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 421-3050
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: NICOLLE L. MEDINA
  • NPI Number: 1578781654
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 16D2108110
LAB Type Other - COUNTY JAIL
Facility Name CERRO GORDO COUNTY SHERIFF'S OFFICE
Street 17262 LARK AVENUE
City MASON CITY
State IA
ZIP 50401
Phone 641 421-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Other - COUNTY JAIL
Lab Director NICOLLE L. MEDINA

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