16D0999305 CLIA NUMBER - EPIPHANY DERMATOLOGY OF IOWA, LC

Laboratory Demographics

  • CLIA Code: 16D0999305
  • Facility Name: EPIPHANY DERMATOLOGY OF IOWA, LC
  • Facility Address: 1100 SIXTH STREET, SUITE 202
    CORALVILLE, IA
    ZIP 52241
  • Facility Phone: 319 337-4566
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HOBART W. WALLING
  • NPI Number: 1194027367
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 16D0999305
LAB Type Physician Office
Facility Name EPIPHANY DERMATOLOGY OF IOWA, LC
Street 1100 SIXTH STREET, SUITE 202
City CORALVILLE
State IA
ZIP 52241
Phone 319 337-4566
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director HOBART W. WALLING

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