16D2113972 CLIA NUMBER - UNITYPOINT CLINIC ENDOCRINOLOGY DIABETES CARE, HEALTHY LIVING

Laboratory Demographics

  • CLIA Code: 16D2113972
  • Facility Name: UNITYPOINT CLINIC ENDOCRINOLOGY DIABETES CARE, HEALTHY LIVING
  • Facility Address: 1002 4TH AVENUE SE
    CEDAR RAPIDS, IA
    ZIP 52403
  • Facility Phone: 319 298-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRASUNA MADHAVARAM
  • NPI Number: 1922468925
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 16D2113972
LAB Type Physician Office
Facility Name UNITYPOINT CLINIC ENDOCRINOLOGY DIABETES CARE, HEALTHY LIVING
Street 1002 4TH AVENUE SE
City CEDAR RAPIDS
State IA
ZIP 52403
Phone 319 298-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director PRASUNA MADHAVARAM

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