16D2186187 CLIA NUMBER - IOWA DERMATOLOGY CONSULTANTS, PLLC

Laboratory Demographics

  • CLIA Code: 16D2186187
  • Facility Name: IOWA DERMATOLOGY CONSULTANTS, PLLC
  • Facility Address: 2675 N ANKENY BLVD, SUITE 101/103
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 217-4807
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATRINA A. SMITH
  • NPI Number: 1730705385
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 16D2186187
LAB Type Physician Office
Facility Name IOWA DERMATOLOGY CONSULTANTS, PLLC
Street 2675 N ANKENY BLVD, SUITE 101/103
City ANKENY
State IA
ZIP 50023
Phone 515 217-4807
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director KATRINA A. SMITH

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