16D1046035 CLIA NUMBER - IOWA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 16D1046035
  • Facility Name: IOWA ENDOSCOPY CENTER
  • Facility Address: 1378 NW 124TH STREET, SUITE 100
    CLIVE, IA
    ZIP 50325
  • Facility Phone: 515 288-3342
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS L. MARTIN
  • NPI Number: 1609968478
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1046035
LAB Type Ambulatory Surgery Center
Facility Name IOWA ENDOSCOPY CENTER
Street 1378 NW 124TH STREET, SUITE 100
City CLIVE
State IA
ZIP 50325
Phone 515 288-3342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS L. MARTIN

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