16D0860813 CLIA NUMBER - BLANK CHILDREN'S PEDIATRICS

Laboratory Demographics

  • CLIA Code: 16D0860813
  • Facility Name: BLANK CHILDREN'S PEDIATRICS
  • Facility Address: 1212 PLEASANT STREET SUITE 300
    DES MOINES, IA
    ZIP 50309
  • Facility Phone: 515 241-8112
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERIC HAUGEN, MD
  • NPI Number: 1750633087
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0860813
LAB Type Physician Office
Facility Name BLANK CHILDREN'S PEDIATRICS
Street 1212 PLEASANT STREET SUITE 300
City DES MOINES
State IA
ZIP 50309
Phone 515 241-8112
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ERIC HAUGEN, MD

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