16D2256550 CLIA NUMBER - MIDWEST MENTAL HEALTH

Laboratory Demographics

  • CLIA Code: 16D2256550
  • Facility Name: MIDWEST MENTAL HEALTH
  • Facility Address: 523 WEST SHERIDAN
    SHENANDOAH, IA
    ZIP 51601
  • Facility Phone: 712 246-0159
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KINDRA A. WESTON
  • NPI Number: 1144695040
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 16D2256550
LAB Type Practitioner Other
Facility Name MIDWEST MENTAL HEALTH
Street 523 WEST SHERIDAN
City SHENANDOAH
State IA
ZIP 51601
Phone 712 246-0159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Practitioner Other
Lab Director KINDRA A. WESTON

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