16D0856046 CLIA NUMBER - IOWA MEDICAL & CLASSIFICATION CENTER

Laboratory Demographics

  • CLIA Code: 16D0856046
  • Facility Name: IOWA MEDICAL & CLASSIFICATION CENTER
  • Facility Address: 2700 CORAL RIDGE AVENUE
    CORALVILLE, IA
    ZIP 52241
  • Facility Phone: 319 626-2391
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MICHAEL RILEY
  • NPI Number: 1427602614
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 16D0856046
LAB Type Prison
Facility Name IOWA MEDICAL & CLASSIFICATION CENTER
Street 2700 CORAL RIDGE AVENUE
City CORALVILLE
State IA
ZIP 52241
Phone 319 626-2391
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 Prison
Lab Director MICHAEL RILEY

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