16D2181816 CLIA NUMBER - METHODIST JENNIE EDMUNDSON MEDICAL PLAZA

Laboratory Demographics

  • CLIA Code: 16D2181816
  • Facility Name: METHODIST JENNIE EDMUNDSON MEDICAL PLAZA
  • Facility Address: 808 E PIERCE STREET
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 402 815-1881
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DANA L. MCGUIRE
  • NPI Number: 1497842223
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 16D2181816
LAB Type Physician Office
Facility Name METHODIST JENNIE EDMUNDSON MEDICAL PLAZA
Street 808 E PIERCE STREET
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 402 815-1881
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director DANA L. MCGUIRE

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