16D0992680 CLIA NUMBER - GREATER DES MOINES DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 16D0992680
  • Facility Name: GREATER DES MOINES DERMATOLOGY
  • Facility Address: 2424 128TH STREET
    URBANDALE, IA
    ZIP 50323
  • Facility Phone: (515) 243-8676
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY G. ABRAHAMSON, MD
  • NPI Number: 1730188160
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 16D0992680
LAB Type Physician Office
Facility Name GREATER DES MOINES DERMATOLOGY
Street 2424 128TH STREET
City URBANDALE
State IA
ZIP 50323
Phone 5152438676
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 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director TIMOTHY G. ABRAHAMSON, MD

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This page was last updated on: 5/18/2026