16D2084932 CLIA NUMBER - CENTRAL STATES PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 16D2084932
  • Facility Name: CENTRAL STATES PAIN CLINIC
  • Facility Address: 1300 37TH STREET, SUITE 6
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 267-1819
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DONALD FREDERICK
  • NPI Number: 1144646787
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2084932
LAB Type Physician Office
Facility Name CENTRAL STATES PAIN CLINIC
Street 1300 37TH STREET, SUITE 6
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 267-1819
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director DONALD FREDERICK

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