16D0667028 CLIA NUMBER - POLK COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 16D0667028

Facility Name: POLK COUNTY HEALTH DEPARTMENT

Facility Address:
1907 CARPENTER AVENUE
DES MOINES, IA
ZIP 50314
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Facility Phone Number: 515 286-3758

Facility Type: Public Health Laboratories

Certificate Type: Certificate of Compliance

NPI Number: 1740579101

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	16D0667028
LAB Type	Public Health Laboratories
Facility Name	POLK COUNTY HEALTH DEPARTMENT
Street	1907 CARPENTER AVENUE
City	DES MOINES
State	IA
ZIP	50314
Phone	515 286-3758
CertificateType	2
CertificateEffectiveDate	7/18/2022
CertificateExpirationDate	7/17/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024