16D0677267 CLIA NUMBER - EVANS SENIOR LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 16D0677267
  • Facility Name: EVANS SENIOR LIVING COMMUNITY
  • Facility Address: 1010 NORTH ELM STREET
    CRESCO, IA
    ZIP 52136
  • Facility Phone: 563 547-2364
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAMBRIA SEBASTIAN
  • NPI Number: 1780801175
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0677267
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVANS SENIOR LIVING COMMUNITY
Street 1010 NORTH ELM STREET
City CRESCO
State IA
ZIP 52136
Phone 563 547-2364
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 CAMBRIA SEBASTIAN

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