16D2246642 CLIA NUMBER - BUENA VISTA COUNTY PUBLIC HEALTH & HOME CARE

Laboratory Demographics

  • CLIA Code: 16D2246642
  • Facility Name: BUENA VISTA COUNTY PUBLIC HEALTH & HOME CARE
  • Facility Address: 1709 E RICHLAND ST
    STORM LAKE, IA
    ZIP 50588
  • Facility Phone: 712 749-2548
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: TRACY GOTTO
  • NPI Number: 1639100134
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D2246642
LAB Type Public Health Laboratories
Facility Name BUENA VISTA COUNTY PUBLIC HEALTH & HOME CARE
Street 1709 E RICHLAND ST
City STORM LAKE
State IA
ZIP 50588
Phone 712 749-2548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Public Health Laboratories
Lab Director TRACY GOTTO

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