16D1096235 CLIA NUMBER - EDGEWATER

Laboratory Demographics

  • CLIA Code: 16D1096235
  • Facility Name: EDGEWATER
  • Facility Address: 9225 CASCADE AVENUE
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 978-2395
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ABBY HARLACHER
  • NPI Number: 1154560506
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1096235
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EDGEWATER
Street 9225 CASCADE AVENUE
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 978-2395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ABBY HARLACHER

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