16D2124700 CLIA NUMBER - UPPER DES MOINES OPPORTUNITY HEAD START

Laboratory Demographics

CLIA Number: 16D2124700

Facility Name: UPPER DES MOINES OPPORTUNITY HEAD START

Facility Address:
101 ROBBINS ST PO BOX 519
GRAETTINGER, IA
ZIP 51342
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Facility Phone Number: 712 859-3885

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1538235528

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	16D2124700
LAB Type	School/Student Health Service
Facility Name	UPPER DES MOINES OPPORTUNITY HEAD START
Street	101 ROBBINS ST PO BOX 519
City	GRAETTINGER
State	IA
ZIP	51342
Phone	712 859-3885
CertificateType	4
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024