16D0648017 CLIA NUMBER - EMBASSY REHAB AND CARE CENTER

Laboratory Demographics

  • CLIA Code: 16D0648017
  • Facility Name: EMBASSY REHAB AND CARE CENTER
  • Facility Address: 206 PORT NEAL ROAD
    SERGEANT BLUFF, IA
    ZIP 51054
  • Facility Phone: 712 943-3837
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BILLIJEAN MOERMAN
  • NPI Number: 1457359200
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0648017
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EMBASSY REHAB AND CARE CENTER
Street 206 PORT NEAL ROAD
City SERGEANT BLUFF
State IA
ZIP 51054
Phone 712 943-3837
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 BILLIJEAN MOERMAN

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This page was last updated on: 6/4/2025