16D1016190 CLIA NUMBER - MAINSTREAM RCF/PMI

Laboratory Demographics

  • CLIA Code: 16D1016190
  • Facility Name: MAINSTREAM RCF/PMI
  • Facility Address: 704 FREMONT
    DES MOINES, IA
    ZIP 50316
  • Facility Phone: 515 564-1115
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY FULLER
  • NPI Number: 1427282680
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 16D1016190
LAB Type Other
Facility Name MAINSTREAM RCF/PMI
Street 704 FREMONT
City DES MOINES
State IA
ZIP 50316
Phone 515 564-1115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Other
Lab Director MARY FULLER

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