16D0694732 CLIA NUMBER - CENTERVILLE SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0694732
  • Facility Name: CENTERVILLE SPECIALTY CARE
  • Facility Address: 1208 EAST CROSS STREET
    CENTERVILLE, IA
    ZIP 52544
  • Facility Phone: 641 856-8651
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID B. FRASER
  • NPI Number: 1851361406
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0694732
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTERVILLE SPECIALTY CARE
Street 1208 EAST CROSS STREET
City CENTERVILLE
State IA
ZIP 52544
Phone 641 856-8651
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 DAVID B. FRASER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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