16D2056894 CLIA NUMBER - ANKENY DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D2056894
  • Facility Name: ANKENY DIALYSIS
  • Facility Address: 2625 N ANKENY BLVD
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 963-3174
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHANN P. SCHMOLCK
  • NPI Number: 1972843738
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2056894
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANKENY DIALYSIS
Street 2625 N ANKENY BLVD
City ANKENY
State IA
ZIP 50023
Phone 515 963-3174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHANN P. SCHMOLCK

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