LABORATORY CORPORATION OF AMERICA HOLDINGS
NPI 1295663680
Clinical Medical Laboratory in De Witt, IA

Active since May 13, 2026CLIA 16D2341839 · Waiver
2422 12TH STREET CT, DE WITT, IA 52742(563) 659-6090 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laboratory Corporation Of America Holdings NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LABORATORY CORPORATION OF AMERICA HOLDINGS (NPI 1295663680) is a healthcare organization registered as a clinical medical laboratory in De Witt, Iowa and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Evan T Smith, Vice President, as its authorized official.

NPPES Registry Identity

NPI1295663680
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLABORATORY CORPORATION OF AMERICA HOLDINGS
Location Address2422 12TH STREET CTDe Witt, IA 52742-1225
Mailing AddressPo Box 2240Burlington, NC 27216-2240
Organization SubpartNo
Authorized OfficialEvan T SmithVice President · (336) 209-8960
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1295663680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
2422 12TH STREET CT, De Witt, IA 52742

Other Identifiers 1

Other16D2341839Clia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2341839

Laboratory Corporation Of America · Dewitt, IA
Active · expires Apr 7, 2028
CLIA Number16D2341839
Laboratory TypeIndependent
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorMichelle Stolba
Laboratory Phone(402) 730-1971
Laboratory LocationLaboratory Corporation Of America2422 12th St Ct, Dewitt, IA 52742
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2422 12TH STREET CT
DE WITT, IA 52742
Nurse Practitioner (Family)
2422 12TH STREET CT
DE WITT, IA 52742
Nurse Practitioner (Family)
2422 12TH STREET CT
DE WITT, IA 52742
Family Medicine
2422 12TH STREET CT
DE WITT, IA 52742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laboratory Corporation Of America Holdings's NPI number?

The NPI number for Laboratory Corporation Of America Holdings is 1295663680. It was assigned to this organization in the NPPES registry on May 13, 2026.

Where is Laboratory Corporation Of America Holdings located?

Laboratory Corporation Of America Holdings is located at 2422 12th Street Ct, De Witt, IA 52742. The listed phone number is (563) 659-6090.

What is Laboratory Corporation Of America Holdings's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Laboratory Corporation Of America Holdings hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2341839) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laboratory Corporation Of America Holdings was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.