16D2263240 CLIA NUMBER - WITH HOPE LLC

Laboratory Demographics

  • CLIA Code: 16D2263240
  • Facility Name: WITH HOPE LLC
  • Facility Address: 222 BROADWAY ST, STE 2
    AUDUBON, IA
    ZIP 50025
  • Facility Phone: 712 304-4249
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOPE J. JENSEN
  • NPI Number: 1851022420
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2263240
LAB Type Physician Office
Facility Name WITH HOPE LLC
Street 222 BROADWAY ST, STE 2
City AUDUBON
State IA
ZIP 50025
Phone 712 304-4249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director HOPE J. JENSEN

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