16D0893278 CLIA NUMBER - CHILDSERVE HABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 16D0893278
  • Facility Name: CHILDSERVE HABILITATION CENTER
  • Facility Address: 5900 PIONEER PARKWAY, PO BOX 707
    JOHNSTON, IA
    ZIP 50131
  • Facility Phone: 515 727-0296
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CODY CAMPBELL
  • NPI Number: 1780725960
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0893278
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHILDSERVE HABILITATION CENTER
Street 5900 PIONEER PARKWAY, PO BOX 707
City JOHNSTON
State IA
ZIP 50131
Phone 515 727-0296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CODY CAMPBELL

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