Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
16D2109663
|
|
Clinical laboratory number
|
|
Lab Name
|
POLK COUNTY JUVENILE DETENTION CENTER
|
|
Laboratory Name
|
|
Lab Type
|
Other - JUVENILE DETENTION CTR
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
515-875-5567
|
|
Laboratory telephone number
|
|
Fax
|
515-263-9174
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1548 HULL AVENUE
|
|
Primary location adress line
|
|
City
|
DES MOINES
|
|
Primary location city name
|
|
State
|
IA
|
|
Primary location state name
|
|
Zip
|
50316
|
|
Primary location postal code
|