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16D2265983 CLIA NUMBER - COMPLETE CARE OF IOWA LLC

Laboratory Demographics

CLIA Number: 16D2265983

Facility Name: COMPLETE CARE OF IOWA LLC

Facility Address:
113 E MARION ST
SIGOURNEY, IA
ZIP 52591
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Facility Phone Number: 641 541-4002

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1528795275

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 16D2265983
LAB Type Physician Office
Facility Name COMPLETE CARE OF IOWA LLC
Street 113 E MARION ST
City SIGOURNEY
State IA
ZIP 52591
Phone 641 541-4002
CertificateType 4
CertificateEffectiveDate 8/4/2022
CertificateExpirationDate 8/3/2024
FacilityType Waiver

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