16D2227909 CLIA NUMBER - DIGESTIVE HEALTH CENTER LLC

Laboratory Demographics

  • CLIA Code: 16D2227909
  • Facility Name: DIGESTIVE HEALTH CENTER LLC
  • Facility Address: 1015 S HACKETT RD, STE B
    WATERLOO, IA
    ZIP 50701
  • Facility Phone: 319 406-5990
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAVINDRA K. MALLAVARAPU
  • NPI Number: 1548842180
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Ambulatory Surgery Center
Lab Director RAVINDRA K. MALLAVARAPU

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