16D2300320 CLIA NUMBER - DRIFTLESS SKIN CENTER, PC

Laboratory Demographics

  • CLIA Code: 16D2300320
  • Facility Name: DRIFTLESS SKIN CENTER, PC
  • Facility Address: 1550 UNIVERSITY AVE STE B
    DUBUQUE, IA
    ZIP 52001
  • Facility Phone: 563 213-8433
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MEGAN M. EISEL
  • NPI Number: 1871350868
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 16D2300320
LAB Type Practitioner Other
Facility Name DRIFTLESS SKIN CENTER, PC
Street 1550 UNIVERSITY AVE STE B
City DUBUQUE
State IA
ZIP 52001
Phone 563 213-8433
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 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Practitioner Other
Lab Director MEGAN M. EISEL

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