16D2259127 CLIA NUMBER - OKOBOJI WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 16D2259127
  • Facility Name: OKOBOJI WELLNESS CLINIC
  • Facility Address: 3305 BERGQUIST AVE
    SPIRIT LAKE, IA
    ZIP 51360
  • Facility Phone: 712 339-6024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE M. HARRINGTON

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CLIA Record

Field Name Field Value
CLIA Number 16D2259127
LAB Type Physician Office
Facility Name OKOBOJI WELLNESS CLINIC
Street 3305 BERGQUIST AVE
City SPIRIT LAKE
State IA
ZIP 51360
Phone 712 339-6024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director NICOLE M. HARRINGTON

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This page was last updated on: 3/20/2025