16D2169574 CLIA NUMBER - UNITYPOINT CLINIC EXPRESS CARE JORDAN CREEK

Laboratory Demographics

CLIA Code: 16D2169574
Facility Name: UNITYPOINT CLINIC EXPRESS CARE JORDAN CREEK
Facility Address: 180 JORDAN CREEK PARKWAY, SUITE 12
WEST DES MOINES, IA
ZIP 50266
Facility Phone: 515 224-5868
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: LORI L. WALLEN

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CLIA Record

Field Name	Field Value
CLIA Number	16D2169574
LAB Type	Physician Office
Facility Name	UNITYPOINT CLINIC EXPRESS CARE JORDAN CREEK
Street	180 JORDAN CREEK PARKWAY, SUITE 12
City	WEST DES MOINES
State	IA
ZIP	50266
Phone	515 224-5868
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/23/2023
Certificate Expiration Date	7/22/2025
Facility Type	Physician Office
Lab Director	LORI L. WALLEN

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This page was last updated on: 6/4/2025