16D2071113 CLIA NUMBER - FIVE SEASONS DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D2071113
  • Facility Name: FIVE SEASONS DIALYSIS
  • Facility Address: 1002 4TH AVENUE SE, SUITE A
    CEDAR RAPIDS, IA
    ZIP 52403
  • Facility Phone: 319 364-0655
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABHA SAXENA
  • NPI Number: 1477980365
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2071113
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FIVE SEASONS DIALYSIS
Street 1002 4TH AVENUE SE, SUITE A
City CEDAR RAPIDS
State IA
ZIP 52403
Phone 319 364-0655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABHA SAXENA

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