16D1073738 CLIA NUMBER - GRANDVIEW COLLEGE STUDENT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 16D1073738
  • Facility Name: GRANDVIEW COLLEGE STUDENT HEALTH CENTER
  • Facility Address: 1200 GRANDVIEW AVENUE, STUDENT HEALTH SERVICE
    DES MOINES, IA
    ZIP 50316
  • Facility Phone: 515 263-2823
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: KEN L. CHEYNE
  • NPI Number: 1861908089
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D1073738
LAB Type School/Student Health Service
Facility Name GRANDVIEW COLLEGE STUDENT HEALTH CENTER
Street 1200 GRANDVIEW AVENUE, STUDENT HEALTH SERVICE
City DES MOINES
State IA
ZIP 50316
Phone 515 263-2823
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 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type School/Student Health Service
Lab Director KEN L. CHEYNE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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