16D2133170 CLIA NUMBER - PELLA DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D2133170
  • Facility Name: PELLA DIALYSIS
  • Facility Address: 1117 HAZEL STREET
    PELLA, IA
    ZIP 50219
  • Facility Phone: 641 628-6695
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK BELZ
  • NPI Number: 1477086692
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2133170
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PELLA DIALYSIS
Street 1117 HAZEL STREET
City PELLA
State IA
ZIP 50219
Phone 641 628-6695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK BELZ

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