16D2247590 CLIA NUMBER - O'BRIEN COUNTY PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 16D2247590
  • Facility Name: O'BRIEN COUNTY PUBLIC HEALTH
  • Facility Address: 155 S HAYES AVE
    PRIMGHAR, IA
    ZIP 51245
  • Facility Phone: 712 957-0105
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: KORRIE EWOLDT
  • NPI Number: 1275728966
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 16D2247590
LAB Type Public Health Laboratories
Facility Name O'BRIEN COUNTY PUBLIC HEALTH
Street 155 S HAYES AVE
City PRIMGHAR
State IA
ZIP 51245
Phone 712 957-0105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Public Health Laboratories
Lab Director KORRIE EWOLDT

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