16D2068702 CLIA NUMBER - ADVANCED DERMATOLOGY OF THE MIDLANDS

Laboratory Demographics

  • CLIA Code: 16D2068702
  • Facility Name: ADVANCED DERMATOLOGY OF THE MIDLANDS
  • Facility Address: 928 VALLEY VIEW DRIVE
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 402 933-3770
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES M. SHEHAN
  • NPI Number: 1578095097
  • Taxonomy: 1223P0300X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 16D2068702
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY OF THE MIDLANDS
Street 928 VALLEY VIEW DRIVE
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 402 933-3770
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director DR. JAMES M. SHEHAN

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