16D0671500 CLIA NUMBER - STATE CENTER SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0671500
  • Facility Name: STATE CENTER SPECIALTY CARE
  • Facility Address: 702 3RD STREET NW
    STATE CENTER, IA
    ZIP 50247
  • Facility Phone: (641) 483-2812
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DESIRE T. GIJIMA
  • NPI Number: 1902879018
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0671500
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STATE CENTER SPECIALTY CARE
Street 702 3RD STREET NW
City STATE CENTER
State IA
ZIP 50247
Phone 6414832812
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 DESIRE T. GIJIMA

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This page was last updated on: 5/18/2026