16D2084598 CLIA NUMBER - THE IOWA CLINIC - EDGEWATER

Laboratory Demographics

  • CLIA Code: 16D2084598
  • Facility Name: THE IOWA CLINIC - EDGEWATER
  • Facility Address: 9225 CASCADE AVENUE
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 875-2792
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NARASIMHA PALAGUMMI
  • NPI Number: 1184614976
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 16D2084598
LAB Type Physician Office
Facility Name THE IOWA CLINIC - EDGEWATER
Street 9225 CASCADE AVENUE
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 875-2792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director NARASIMHA PALAGUMMI

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