16D2173491 CLIA NUMBER - IOWA SPECIALTY CLINIC

Laboratory Demographics

CLIA Number: 16D2173491

Facility Name: IOWA SPECIALTY CLINIC

Facility Address:
1924 SUPERIOR ST
WEBSTER CITY, IA
ZIP 50595
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Facility Phone Number: 515 532-9352

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1982248423

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D2173491
LAB Type	Independent
Facility Name	IOWA SPECIALTY CLINIC
Street	1924 SUPERIOR ST
City	WEBSTER CITY
State	IA
ZIP	50595
Phone	515 532-9352
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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