16D2273442 CLIA NUMBER - GLE GLENWOOD LLC

Laboratory Demographics

  • CLIA Code: 16D2273442
  • Facility Name: GLE GLENWOOD LLC
  • Facility Address: 406 1ST ST
    GLENWOOD, IA
    ZIP 51534
  • Facility Phone: 712 527-4468
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KYLE D. KLUTE
  • NPI Number: 1821709957
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 16D2273442
LAB Type Practitioner Other
Facility Name GLE GLENWOOD LLC
Street 406 1ST ST
City GLENWOOD
State IA
ZIP 51534
Phone 712 527-4468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Practitioner Other
Lab Director KYLE D. KLUTE

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