16D1094654 CLIA NUMBER - ALL AGES PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 16D1094654
  • Facility Name: ALL AGES PEDIATRICS, PC
  • Facility Address: 301 W 2ND STREET, SUITE 1
    OTTUMWA, IA
    ZIP 52501
  • Facility Phone: 641 682-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC L. DODSON
  • NPI Number: 1619115888
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 16D1094654
LAB Type Physician Office
Facility Name ALL AGES PEDIATRICS, PC
Street 301 W 2ND STREET, SUITE 1
City OTTUMWA
State IA
ZIP 52501
Phone 641 682-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director ERIC L. DODSON

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This page was last updated on: 3/20/2025