16D0877658 CLIA NUMBER - OPPORTUNITY LIVING

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CLIA Record

Field Name Field Value
CLIA Number 16D0877658
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name OPPORTUNITY LIVING
Street 1890 EAST MAIN
City LAKE CITY
State IA
ZIP 51449
Phone 712 464-8961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director PATRICIA A. SHARKEY

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