16D2206645 CLIA NUMBER - CLIVE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 16D2206645
  • Facility Name: CLIVE BEHAVIORAL HEALTH
  • Facility Address: 1450 NW 114TH STREET
    CLIVE, IA
    ZIP 50325
  • Facility Phone: 515 553-6200
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SASHA KHOSRAVI
  • NPI Number: 1104449446
  • Taxonomy: 283Q00000X - Psychiatric Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2206645
LAB Type Hospital
Facility Name CLIVE BEHAVIORAL HEALTH
Street 1450 NW 114TH STREET
City CLIVE
State IA
ZIP 50325
Phone 515 553-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Hospital
Lab Director SASHA KHOSRAVI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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