16D2134355 CLIA NUMBER - JENNIFER DENHARTOG OD LLC

Laboratory Demographics

CLIA Number: 16D2134355

Facility Name: JENNIFER DENHARTOG OD LLC

Facility Address:
12695 UNIVERSITY AVE, SUITE 170
CLIVE, IA
ZIP 50325
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Facility Phone Number: 515 512-1444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285682245

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name	Field Value
CLIA Number	16D2134355
LAB Type	Physician Office
Facility Name	JENNIFER DENHARTOG OD LLC
Street	12695 UNIVERSITY AVE, SUITE 170
City	CLIVE
State	IA
ZIP	50325
Phone	515 512-1444
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

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