16D1036002 CLIA NUMBER - EAST DES MOINES DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D1036002
  • Facility Name: EAST DES MOINES DIALYSIS
  • Facility Address: 1201 PENNSYLVANIA AVENUE
    DES MOINES, IA
    ZIP 50316
  • Facility Phone: 515 783-6342
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK M. BELZ
  • NPI Number: 1922075670
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1036002
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST DES MOINES DIALYSIS
Street 1201 PENNSYLVANIA AVENUE
City DES MOINES
State IA
ZIP 50316
Phone 515 783-6342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK M. BELZ

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