16D2227909 CLIA NUMBER - DIGESTIVE HEALTH CENTER LLC

Laboratory Demographics

CLIA Number: 16D2227909

Facility Name: DIGESTIVE HEALTH CENTER LLC

Facility Address:
1015 S HACKETT RD, STE B
WATERLOO, IA
ZIP 50701
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Facility Phone Number: 319 406-5990

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1548842180

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D2227909
LAB Type	Ambulatory Surgery Center
Facility Name	DIGESTIVE HEALTH CENTER LLC
Street	1015 S HACKETT RD, STE B
City	WATERLOO
State	IA
ZIP	50701
Phone	319 406-5990
CertificateType	4
CertificateEffectiveDate	6/18/2023
CertificateExpirationDate	6/17/2025
FacilityType	Waiver

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