16D0880535 CLIA NUMBER - BROADLAWNS COMMUNITY CLINIC AT DRAKE

Laboratory Demographics

CLIA Number: 16D0880535

Facility Name: BROADLAWNS COMMUNITY CLINIC AT DRAKE

Facility Address:
2970 UNIVERSITY AVE
DES MOINES, IA
ZIP 50311
Get Directions

Facility Phone Number: 515 216-5100

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1023451721

Taxonomy: 1835P0018X - Pharmacist
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

CLIA Record

Field Name	Field Value
CLIA Number	16D0880535
LAB Type	Community Clinic
Facility Name	BROADLAWNS COMMUNITY CLINIC AT DRAKE
Street	2970 UNIVERSITY AVE
City	DES MOINES
State	IA
ZIP	50311
Phone	515 216-5100
CertificateType	2
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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