16D2176224 CLIA NUMBER - BCHC FAMILY MEDICINE - JESUP

Laboratory Demographics

  • CLIA Code: 16D2176224
  • Facility Name: BCHC FAMILY MEDICINE - JESUP
  • Facility Address: 211 SOUTH STREET WEST
    JESUP, IA
    ZIP 50648
  • Facility Phone: 319 827-2242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID L. FAHEY
  • NPI Number: 1386201333
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2176224
LAB Type Physician Office
Facility Name BCHC FAMILY MEDICINE - JESUP
Street 211 SOUTH STREET WEST
City JESUP
State IA
ZIP 50648
Phone 319 827-2242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director DAVID L. FAHEY

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