16D2325297 CLIA NUMBER - OTTUMWA EXPRESS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 16D2325297
  • Facility Name: OTTUMWA EXPRESS CLINIC, PLLC
  • Facility Address: 203 W 2ND ST
    OTTUMWA, IA
    ZIP 52501
  • Facility Phone: 641 436-7763
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NATASHA A. MYERS
  • NPI Number: 1073497459
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2325297
LAB Type Practitioner Other
Facility Name OTTUMWA EXPRESS CLINIC, PLLC
Street 203 W 2ND ST
City OTTUMWA
State IA
ZIP 52501
Phone 641 436-7763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Practitioner Other
Lab Director NATASHA A. MYERS

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