16D2156233 CLIA NUMBER - NESCO FAMILY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 16D2156233

Facility Name: NESCO FAMILY MEDICAL CLINIC

Facility Address:
112 WEST MAIN ST
ZEARING, IA
ZIP 50278
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Facility Phone Number: 641 487-7800

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1003398835

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	16D2156233
LAB Type	Rural Health Clinic
Facility Name	NESCO FAMILY MEDICAL CLINIC
Street	112 WEST MAIN ST
City	ZEARING
State	IA
ZIP	50278
Phone	641 487-7800
CertificateType	4
CertificateEffectiveDate	10/12/2022
CertificateExpirationDate	10/11/2024
FacilityType	Waiver

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