16D0897421 CLIA NUMBER - PRIMARY HEALTH CARE, INC

Laboratory Demographics

CLIA Number: 16D0897421

Facility Name: PRIMARY HEALTH CARE, INC

Facility Address:
2353 SE 14TH STREET
DES MOINES, IA
ZIP 50320
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Facility Phone Number: 515 248-1447

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1174139158

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D0897421
LAB Type	Federally Qualified Health Center
Facility Name	PRIMARY HEALTH CARE, INC
Street	2353 SE 14TH STREET
City	DES MOINES
State	IA
ZIP	50320
Phone	515 248-1447
CertificateType	3
CertificateEffectiveDate	2/6/2023
CertificateExpirationDate	2/5/2025
FacilityType	PPMP

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