16D2154559 CLIA NUMBER - OTTUMWA HEALTH GROUP, LLC DBA OTTUMWA OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 16D2154559
  • Facility Name: OTTUMWA HEALTH GROUP, LLC DBA OTTUMWA OCCUPATIONAL MEDICINE
  • Facility Address: 1013 PENNSYLVANIA AVENUE, STE A,B
    OTTUMWA, IA
    ZIP 52501
  • Facility Phone: 641 684-2466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWN DAWSON
  • NPI Number: 1649891722
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2154559
LAB Type Physician Office
Facility Name OTTUMWA HEALTH GROUP, LLC DBA OTTUMWA OCCUPATIONAL MEDICINE
Street 1013 PENNSYLVANIA AVENUE, STE A,B
City OTTUMWA
State IA
ZIP 52501
Phone 641 684-2466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director SHAWN DAWSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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