16D0663447 CLIA NUMBER - ATLANTIC SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0663447
  • Facility Name: ATLANTIC SPECIALTY CARE
  • Facility Address: 1300 EAST 19TH STREET
    ATLANTIC, IA
    ZIP 50022
  • Facility Phone: 712 243-3952
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KELLIE JIMERSON
  • NPI Number: 1205829595
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0663447
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ATLANTIC SPECIALTY CARE
Street 1300 EAST 19TH STREET
City ATLANTIC
State IA
ZIP 50022
Phone 712 243-3952
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 MS. KELLIE JIMERSON

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