16D2299810 CLIA NUMBER - DEWITT FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 16D2299810
  • Facility Name: DEWITT FAMILY PRACTICE PLLC
  • Facility Address: 1415 11TH ST STE C
    DEWITT, IA
    ZIP 52742
  • Facility Phone: 563 659-6090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. CLOOS
  • NPI Number: 1659142271
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2299810
LAB Type Physician Office
Facility Name DEWITT FAMILY PRACTICE PLLC
Street 1415 11TH ST STE C
City DEWITT
State IA
ZIP 52742
Phone 563 659-6090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director MICHAEL P. CLOOS

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