16D2274938 CLIA NUMBER - HOLISTIC HEALTH

Laboratory Demographics

  • CLIA Code: 16D2274938
  • Facility Name: HOLISTIC HEALTH
  • Facility Address: 4150 WESTOWN PKWY, SU 202
    WEST DES MOINES, IA
    ZIP 50266
  • Facility Phone: 515 267-9956
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI MILLER
  • NPI Number: 1316778855
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 16D2274938
LAB Type Physician Office
Facility Name HOLISTIC HEALTH
Street 4150 WESTOWN PKWY, SU 202
City WEST DES MOINES
State IA
ZIP 50266
Phone 515 267-9956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director LORI MILLER

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