16D0898042 CLIA NUMBER - WEL-HOME HEALTH SERGEANT BLUFF

Laboratory Demographics

CLIA Number: 16D0898042

Facility Name: WEL-HOME HEALTH SERGEANT BLUFF

Facility Address:
206 PORT NEAL RD
SERGEANT BLUFF, IA
ZIP 51054
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Facility Phone Number: 712 943-7644

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1437131216

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 16D0898042
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEL-HOME HEALTH SERGEANT BLUFF
Street 206 PORT NEAL RD
City SERGEANT BLUFF
State IA
ZIP 51054
Phone 712 943-7644
CertificateType 4
CertificateEffectiveDate 8/23/2023
CertificateExpirationDate 8/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024