16D2264292 CLIA NUMBER - ST GREGORY RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 16D2264292
  • Facility Name: ST GREGORY RECOVERY CENTER
  • Facility Address: 401 GRAND AVE
    WEST DES MOINES, IA
    ZIP 50265
  • Facility Phone: 515 809-9710
  • Facility Type: Other - OUTPATIENT TREATMENT FACI
  • Facility Type: Waiver
  • Lab Director: DAVID NYSTROM
  • NPI Number: 1356898035
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2264292
LAB Type Other - OUTPATIENT TREATMENT FACI
Facility Name ST GREGORY RECOVERY CENTER
Street 401 GRAND AVE
City WEST DES MOINES
State IA
ZIP 50265
Phone 515 809-9710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Other - OUTPATIENT TREATMENT FACI
Lab Director DAVID NYSTROM

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