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