16D2258024 CLIA NUMBER - BEHRENDS SPINE AND WELLNESS PLLC

Laboratory Demographics

CLIA Number: 16D2258024

Facility Name: BEHRENDS SPINE AND WELLNESS PLLC

Facility Address:
203 W 1ST STREET
MONTICELLO, IA
ZIP 52310
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Facility Phone Number: 319 465-3505

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073118535

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	16D2258024
LAB Type	Physician Office
Facility Name	BEHRENDS SPINE AND WELLNESS PLLC
Street	203 W 1ST STREET
City	MONTICELLO
State	IA
ZIP	52310
Phone	319 465-3505
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024