16D0648057 CLIA NUMBER - NORTHCREST LIVING CENTER

Laboratory Demographics

  • CLIA Code: 16D0648057
  • Facility Name: NORTHCREST LIVING CENTER
  • Facility Address: 34 NORTHCREST DRIVE
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 712 328-2333
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLEY SEITZ
  • NPI Number: 1750336806
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0648057
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHCREST LIVING CENTER
Street 34 NORTHCREST DRIVE
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 712 328-2333
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 KELLEY SEITZ

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