16D2171667 CLIA NUMBER - CORNERSTONE PEDIATRICS & FAMILY ALLERGY

Laboratory Demographics

CLIA Number: 16D2171667

Facility Name: CORNERSTONE PEDIATRICS & FAMILY ALLERGY

Facility Address:
6800 LAKE DRIVE SUITE 260
WEST DES MOINES, IA
ZIP 50266
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Facility Phone Number: 515 630-5022

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1598325151

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	16D2171667
LAB Type	Physician Office
Facility Name	CORNERSTONE PEDIATRICS & FAMILY ALLERGY
Street	6800 LAKE DRIVE SUITE 260
City	WEST DES MOINES
State	IA
ZIP	50266
Phone	515 630-5022
CertificateType	2
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	Compliance

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