16D1096151 CLIA NUMBER - HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY

Laboratory Demographics

  • CLIA Code: 16D1096151
  • Facility Name: HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY
  • Facility Address: 10611 HICKMAN ROAD
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 515 254-2265
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: EUGENE J. CHERNY, MD
  • NPI Number: 1629104518
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 16D1096151
LAB Type Other
Facility Name HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY
Street 10611 HICKMAN ROAD
City URBANDALE
State IA
ZIP 50322
Phone 515 254-2265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other
Lab Director EUGENE J. CHERNY, MD

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