16D0694617 CLIA NUMBER - NORTHCREST SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0694617
  • Facility Name: NORTHCREST SPECIALTY CARE
  • Facility Address: 2001 HEATH STREET
    WATERLOO, IA
    ZIP 50703
  • Facility Phone: 319 234-4423
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSE M. BODE
  • NPI Number: 1063484780
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0694617
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHCREST SPECIALTY CARE
Street 2001 HEATH STREET
City WATERLOO
State IA
ZIP 50703
Phone 319 234-4423
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 JESSE M. BODE

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