16D2012073 CLIA NUMBER - DGS-ACQUISITIONS, LLC DBA PRICE CHOPPER

Laboratory Demographics

  • CLIA Code: 16D2012073
  • Facility Name: DGS-ACQUISITIONS, LLC DBA PRICE CHOPPER
  • Facility Address: 3425 INGERSOLL AVENUE
    DES MOINES, IA
    ZIP 50312
  • Facility Phone: 515 255-8642
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC D. BICKEL
  • NPI Number: 1265463400
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2012073
LAB Type Pharmacy
Facility Name DGS-ACQUISITIONS, LLC DBA PRICE CHOPPER
Street 3425 INGERSOLL AVENUE
City DES MOINES
State IA
ZIP 50312
Phone 515 255-8642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director ERIC D. BICKEL

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