16D2299894 CLIA NUMBER - AXIAL CLINIC IA, PC

Laboratory Demographics

  • CLIA Code: 16D2299894
  • Facility Name: AXIAL CLINIC IA, PC
  • Facility Address: 501 SW 7TH ST STE A
    DES MOINES, IA
    ZIP 50309
  • Facility Phone: 615 345-3555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL FROST
  • NPI Number: 1346014602
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2299894
LAB Type Physician Office
Facility Name AXIAL CLINIC IA, PC
Street 501 SW 7TH ST STE A
City DES MOINES
State IA
ZIP 50309
Phone 615 345-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director MICHAEL FROST

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