16D0709678 CLIA NUMBER - BROADLAWNS CITYVILLE FAMILY MEDICINE & URGENT CARE

Laboratory Demographics

  • CLIA Code: 16D0709678
  • Facility Name: BROADLAWNS CITYVILLE FAMILY MEDICINE & URGENT CARE
  • Facility Address: 580 SW 9TH STREET, SUITE 100
    DES MOINES, IA
    ZIP 50309
  • Facility Phone: 515 282-8654
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: YULIA JOHNSON
  • NPI Number: 1184080541
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 16D0709678
LAB Type Community Clinic
Facility Name BROADLAWNS CITYVILLE FAMILY MEDICINE & URGENT CARE
Street 580 SW 9TH STREET, SUITE 100
City DES MOINES
State IA
ZIP 50309
Phone 515 282-8654
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 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Community Clinic
Lab Director YULIA JOHNSON

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