16D0387097 CLIA NUMBER - COLLABORATIVE LABORATORY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 16D0387097
  • Facility Name: COLLABORATIVE LABORATORY SERVICES LLC
  • Facility Address: 1005 EAST PENNSYLVANIA AVENUE, SUITE 102
    OTTUMWA, IA
    ZIP 52501
  • Facility Phone: 641 684-4621
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JOSHUA B. COOK
  • NPI Number: 1871685628
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 16D0387097
LAB Type Hospital
Facility Name COLLABORATIVE LABORATORY SERVICES LLC
Street 1005 EAST PENNSYLVANIA AVENUE, SUITE 102
City OTTUMWA
State IA
ZIP 52501
Phone 641 684-4621
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. JOSHUA B. COOK

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