16D0386979 CLIA NUMBER - CEDAR RAPIDS OBGYN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 16D0386979
  • Facility Name: CEDAR RAPIDS OBGYN SPECIALISTS
  • Facility Address: 788 8TH AVENUE SE, SUITE 100
    CEDAR RAPIDS, IA
    ZIP 52401
  • Facility Phone: 319 363-2682
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRANDON BOURGEOUS
  • NPI Number: 1801953096
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 16D0386979
LAB Type Physician Office
Facility Name CEDAR RAPIDS OBGYN SPECIALISTS
Street 788 8TH AVENUE SE, SUITE 100
City CEDAR RAPIDS
State IA
ZIP 52401
Phone 319 363-2682
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director BRANDON BOURGEOUS

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