16D0387512 CLIA NUMBER - WAPELLO SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0387512
  • Facility Name: WAPELLO SPECIALTY CARE
  • Facility Address: 601 HIGHWAY 61 SOUTH
    WAPELLO, IA
    ZIP 52653
  • Facility Phone: 319 523-2001
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TALISA JACOBS
  • NPI Number: 1073586103
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0387512
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WAPELLO SPECIALTY CARE
Street 601 HIGHWAY 61 SOUTH
City WAPELLO
State IA
ZIP 52653
Phone 319 523-2001
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 TALISA JACOBS

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