16D0712146 CLIA NUMBER - CALVIN COMMUNITY

Laboratory Demographics

  • CLIA Code: 16D0712146
  • Facility Name: CALVIN COMMUNITY
  • Facility Address: 4210 HICKMAN ROAD
    DES MOINES, IA
    ZIP 50310
  • Facility Phone: 515 277-6141
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSE IVERSON
  • NPI Number: 1447248372
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0712146
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CALVIN COMMUNITY
Street 4210 HICKMAN ROAD
City DES MOINES
State IA
ZIP 50310
Phone 515 277-6141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSE IVERSON

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