16D2311569 CLIA NUMBER - HOLISTIC WELLNESS & PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 16D2311569
  • Facility Name: HOLISTIC WELLNESS & PSYCHIATRY
  • Facility Address: 42 7TH AVE SW STE 100
    CEDAR RAPIDS, IA
    ZIP 52404
  • Facility Phone: 319 800-2125
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURIE M. MCCORMICK
  • NPI Number: 1104509140
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 16D2311569
LAB Type Physician Office
Facility Name HOLISTIC WELLNESS & PSYCHIATRY
Street 42 7TH AVE SW STE 100
City CEDAR RAPIDS
State IA
ZIP 52404
Phone 319 800-2125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director LAURIE M. MCCORMICK

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