16D2304171 CLIA NUMBER - SIOUXLAND MENTAL HEALTH CENTER CHILD AND ADOLESCENT CENTER

Laboratory Demographics

  • CLIA Code: 16D2304171
  • Facility Name: SIOUXLAND MENTAL HEALTH CENTER CHILD AND ADOLESCENT CENTER
  • Facility Address: 4265 SERGEANT RD
    SIOUX CITY, IA
    ZIP 51106
  • Facility Phone: 712 226-4543
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LISA M. MEYER
  • NPI Number: 1396015509
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 16D2304171
LAB Type Community Clinic
Facility Name SIOUXLAND MENTAL HEALTH CENTER CHILD AND ADOLESCENT CENTER
Street 4265 SERGEANT RD
City SIOUX CITY
State IA
ZIP 51106
Phone 712 226-4543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Community Clinic
Lab Director LISA M. MEYER

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