16D2144293 CLIA NUMBER - STATERA, LLC

Laboratory Demographics

  • CLIA Code: 16D2144293
  • Facility Name: STATERA, LLC
  • Facility Address: 3375 LAKE RIDGE DRIVE
    DUBUQUE, IA
    ZIP 52003
  • Facility Phone: 563 580-0246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE R. HUTCHISON
  • NPI Number: 1689172751
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2144293
LAB Type Physician Office
Facility Name STATERA, LLC
Street 3375 LAKE RIDGE DRIVE
City DUBUQUE
State IA
ZIP 52003
Phone 563 580-0246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director LAWRENCE R. HUTCHISON

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