16D2315615 CLIA NUMBER - RESTORE HEALTH COLLABORATIVE, PLLC

Laboratory Demographics

  • CLIA Code: 16D2315615
  • Facility Name: RESTORE HEALTH COLLABORATIVE, PLLC
  • Facility Address: 1119 E 2ND ST STE A
    PELLA, IA
    ZIP 50219
  • Facility Phone: 641 619-5154
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARITY D. CARSTENSEN
  • NPI Number: 1689497141
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2315615
LAB Type Physician Office
Facility Name RESTORE HEALTH COLLABORATIVE, PLLC
Street 1119 E 2ND ST STE A
City PELLA
State IA
ZIP 50219
Phone 641 619-5154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director CHARITY D. CARSTENSEN

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