16D2165928 CLIA NUMBER - MONROE COUNTY HOSPITAL AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D2165928
  • Facility Name: MONROE COUNTY HOSPITAL AMBULANCE
  • Facility Address: 6580 165TH STREET
    ALBIA, IA
    ZIP 52531
  • Facility Phone: 641 932-1636
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRAD D. LEEDOM
  • NPI Number: 1205895299
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 16D2165928
LAB Type Ambulance
Facility Name MONROE COUNTY HOSPITAL AMBULANCE
Street 6580 165TH STREET
City ALBIA
State IA
ZIP 52531
Phone 641 932-1636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2023
Certificate Expiration Date 5/7/2025
Facility Type Ambulance
Lab Director BRAD D. LEEDOM

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This page was last updated on: 3/20/2025