16D1093323 CLIA NUMBER - ADVANCED DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 16D1093323
  • Facility Name: ADVANCED DIAGNOSTIC IMAGING
  • Facility Address: 4006 JOHNATHAN STREET
    WATERLOO, IA
    ZIP 50701
  • Facility Phone: 319 235-5389
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KIRBY CLARK
  • NPI Number: 1841245586
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1093323
LAB Type Other
Facility Name ADVANCED DIAGNOSTIC IMAGING
Street 4006 JOHNATHAN STREET
City WATERLOO
State IA
ZIP 50701
Phone 319 235-5389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other
Lab Director KIRBY CLARK

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