16D2306643 CLIA NUMBER - BALANCED INTEGRATIVE CARE

Laboratory Demographics

  • CLIA Code: 16D2306643
  • Facility Name: BALANCED INTEGRATIVE CARE
  • Facility Address: 312 N 2ND ST
    ELDRIDGE, IA
    ZIP 52748
  • Facility Phone: 563 396-2233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER CARTON
  • NPI Number: 1275367633
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2306643
LAB Type Physician Office
Facility Name BALANCED INTEGRATIVE CARE
Street 312 N 2ND ST
City ELDRIDGE
State IA
ZIP 52748
Phone 563 396-2233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director JENNIFER CARTON

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