16D0719064 CLIA NUMBER - ENNOBLE NURSING LLC DBA ENNOBLE NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 16D0719064
  • Facility Name: ENNOBLE NURSING LLC DBA ENNOBLE NURSING AND REHABILITATION
  • Facility Address: 2000 PASADENA DRIVE
    DUBUQUE, IA
    ZIP 52001
  • Facility Phone: 563 557-1076
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASSANDRA JOHNSON
  • NPI Number: 1528546298
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0719064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ENNOBLE NURSING LLC DBA ENNOBLE NURSING AND REHABILITATION
Street 2000 PASADENA DRIVE
City DUBUQUE
State IA
ZIP 52001
Phone 563 557-1076
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 CASSANDRA JOHNSON

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