16D2065813 CLIA NUMBER - THE IOWA CLINIC - URBANDALE

Laboratory Demographics

  • CLIA Code: 16D2065813
  • Facility Name: THE IOWA CLINIC - URBANDALE
  • Facility Address: 4323 NW URBANDALE DRIVE
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 515 875-9190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NARASIMHA PALAGUMMI
  • NPI Number: 1649260431
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 16D2065813
LAB Type Physician Office
Facility Name THE IOWA CLINIC - URBANDALE
Street 4323 NW URBANDALE DRIVE
City URBANDALE
State IA
ZIP 50322
Phone 515 875-9190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director NARASIMHA PALAGUMMI

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