16D0387021 CLIA NUMBER - AREA SUBSTANCE ABUSE COUNCIL

Laboratory Demographics

  • CLIA Code: 16D0387021
  • Facility Name: AREA SUBSTANCE ABUSE COUNCIL
  • Facility Address: 3601 16TH AVENUE SW
    CEDAR RAPIDS, IA
    ZIP 52404
  • Facility Phone: 319 390-4611
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JEANNETTE ARCHER-SIMONS
  • NPI Number: 1578560256
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0387021
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name AREA SUBSTANCE ABUSE COUNCIL
Street 3601 16TH AVENUE SW
City CEDAR RAPIDS
State IA
ZIP 52404
Phone 319 390-4611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director JEANNETTE ARCHER-SIMONS

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