16D2136230 CLIA NUMBER - PLYMOUTH COUNTY EYECARE

Laboratory Demographics

  • CLIA Code: 16D2136230
  • Facility Name: PLYMOUTH COUNTY EYECARE
  • Facility Address: 38 CENTRAL AVE NE
    LE MARS, IA
    ZIP 51031
  • Facility Phone: 712 546-6803
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN FERGUSON
  • NPI Number: 1669450615
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2136230
LAB Type Physician Office
Facility Name PLYMOUTH COUNTY EYECARE
Street 38 CENTRAL AVE NE
City LE MARS
State IA
ZIP 51031
Phone 712 546-6803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director STEVEN FERGUSON

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