340B Drug Pricing Program Database

Name

POLK COUNTY HEALTH DEPARTMENT

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD503141

Grant Number

NH25PS005158

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
STD Test Kits
1/1/2019

Current Program Status

Active

Registration Date

1/1/2000

Participating Start Date

1/1/2000

Participating Approval Date

11/11/2004

Last Recertification Date

5/6/2024

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Authorizing Official

Polk County Health Department
Juliann Van Liew, Director
(515) 286-3767

Primary Contact

Polk County Health Department
Carmin Hutch, Clinical Supervisor, RN
(515) 323-5244

Street Address

1907 CARPENTER AVENUE
DES MOINES, IA 50314

Billing Address

Polk County Central Accounting
111 Court Avenue #315
Des Moines, IA 50309