16D0386767 CLIA NUMBER - CRESTVIEW SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0386767
  • Facility Name: CRESTVIEW SPECIALTY CARE
  • Facility Address: 451 WEST ORANGE STREET
    WEST BRANCH, IA
    ZIP 52358
  • Facility Phone: 319 643-2551
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TOM NOVAK
  • NPI Number: 1831169283
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0386767
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTVIEW SPECIALTY CARE
Street 451 WEST ORANGE STREET
City WEST BRANCH
State IA
ZIP 52358
Phone 319 643-2551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TOM NOVAK

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