16D2191237 CLIA NUMBER - UNIVERSITY OF IOWA HEALTH CARE URBANDALE, 86TH ST

Laboratory Demographics

  • CLIA Code: 16D2191237
  • Facility Name: UNIVERSITY OF IOWA HEALTH CARE URBANDALE, 86TH ST
  • Facility Address: 2901 86TH ST, STE 100
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 319 384-9348
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ABIGAIL C. MANCUSO
  • NPI Number: 1093249765
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 16D2191237
LAB Type Physician Office
Facility Name UNIVERSITY OF IOWA HEALTH CARE URBANDALE, 86TH ST
Street 2901 86TH ST, STE 100
City URBANDALE
State IA
ZIP 50322
Phone 319 384-9348
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 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director ABIGAIL C. MANCUSO

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