16D2263211 CLIA NUMBER - SIMPLEVAS PC

Laboratory Demographics

  • CLIA Code: 16D2263211
  • Facility Name: SIMPLEVAS PC
  • Facility Address: 5191 MAPLE DRIVE, SUITE L
    PLEASANT HILL, IA
    ZIP 50327
  • Facility Phone: 515 603-2140
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ESGAR E. GUARIN-NIETO
  • NPI Number: 1588255491
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2263211
LAB Type Physician Office
Facility Name SIMPLEVAS PC
Street 5191 MAPLE DRIVE, SUITE L
City PLEASANT HILL
State IA
ZIP 50327
Phone 515 603-2140
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director ESGAR E. GUARIN-NIETO

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