16D2171092 CLIA NUMBER - CENTRAL IOWA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 16D2171092
  • Facility Name: CENTRAL IOWA DERMATOLOGY
  • Facility Address: 5705 NW 100TH STREET, SUITE 100
    JOHNSTON, IA
    ZIP 50131
  • Facility Phone: 515 726-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ERIC A. HARLAN
  • NPI Number: 1922562743
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 16D2171092
LAB Type Physician Office
Facility Name CENTRAL IOWA DERMATOLOGY
Street 5705 NW 100TH STREET, SUITE 100
City JOHNSTON
State IA
ZIP 50131
Phone 515 726-3376
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director ERIC A. HARLAN

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