16D2272773 CLIA NUMBER - GRACEFUL SECRETS MEDSPA, LLC

Laboratory Demographics

  • CLIA Code: 16D2272773
  • Facility Name: GRACEFUL SECRETS MEDSPA, LLC
  • Facility Address: 204 E 4TH ST
    SAINT ANSGAR, IA
    ZIP 50472
  • Facility Phone: 507 254-8329
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER D. NEUMANN
  • NPI Number: 1073279303
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2272773
LAB Type Physician Office
Facility Name GRACEFUL SECRETS MEDSPA, LLC
Street 204 E 4TH ST
City SAINT ANSGAR
State IA
ZIP 50472
Phone 507 254-8329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director JENNIFER D. NEUMANN

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