16D2070623 CLIA NUMBER - ORCHARD PLACE

Laboratory Demographics

  • CLIA Code: 16D2070623
  • Facility Name: ORCHARD PLACE
  • Facility Address: 925 SW PORTER AVENUE
    DES MOINES, IA
    ZIP 50315
  • Facility Phone: 515 285-6781
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: STEPHEN MANDLER
  • NPI Number: 1245220938
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2070623
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name ORCHARD PLACE
Street 925 SW PORTER AVENUE
City DES MOINES
State IA
ZIP 50315
Phone 515 285-6781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director STEPHEN MANDLER

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