16D0943800 CLIA NUMBER - UNIVERSITY OF IOWA HEALTH CARE IOWA CITY FIRST AVENUE-OCC HEALTH

Laboratory Demographics

  • CLIA Code: 16D0943800
  • Facility Name: UNIVERSITY OF IOWA HEALTH CARE IOWA CITY FIRST AVENUE-OCC HEALTH
  • Facility Address: 269 NORTH FIRST AVENUE SUITE 102
    IOWA CITY, IA
    ZIP 52245
  • Facility Phone: 319 353-7191
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MATTHEW KRASOWSKI
  • NPI Number: 1699541870
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 16D0943800
LAB Type Community Clinic
Facility Name UNIVERSITY OF IOWA HEALTH CARE IOWA CITY FIRST AVENUE-OCC HEALTH
Street 269 NORTH FIRST AVENUE SUITE 102
City IOWA CITY
State IA
ZIP 52245
Phone 319 353-7191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Community Clinic
Lab Director MATTHEW KRASOWSKI

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This page was last updated on: 3/20/2025