16D2273845 CLIA NUMBER - PRAIRIE VIEW EYECARE

Laboratory Demographics

  • CLIA Code: 16D2273845
  • Facility Name: PRAIRIE VIEW EYECARE
  • Facility Address: 1345 SW PARK SQUARE DR, STE 106
    ANKENY, IA
    ZIP 50023
  • Facility Phone: 515 305-2922
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JESSE J. KAHNK
  • NPI Number: 1689317653
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 16D2273845
LAB Type Practitioner Other
Facility Name PRAIRIE VIEW EYECARE
Street 1345 SW PARK SQUARE DR, STE 106
City ANKENY
State IA
ZIP 50023
Phone 515 305-2922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Practitioner Other
Lab Director JESSE J. KAHNK

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