16D0907433 CLIA NUMBER - HOSPICE OF DUBUQUE

Laboratory Demographics

CLIA Number: 16D0907433

Facility Name: HOSPICE OF DUBUQUE

Facility Address:
1670 JOHN F KENNEDY ROAD
DUBUQUE, IA
ZIP 52002
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Facility Phone Number: 563 582-1220

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1801890892

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	16D0907433
LAB Type	Hospice
Facility Name	HOSPICE OF DUBUQUE
Street	1670 JOHN F KENNEDY ROAD
City	DUBUQUE
State	IA
ZIP	52002
Phone	563 582-1220
CertificateType	4
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	Waiver

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