16D0885924 CLIA NUMBER - MIDLANDS LIVING CENTER

Laboratory Demographics

  • CLIA Code: 16D0885924
  • Facility Name: MIDLANDS LIVING CENTER
  • Facility Address: 2452 NORTH BROADWAY
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 712 323-7135
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JESSICA MCCOOL
  • NPI Number: 1780686220
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0885924
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MIDLANDS LIVING CENTER
Street 2452 NORTH BROADWAY
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 712 323-7135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JESSICA MCCOOL

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