16D0925979 CLIA NUMBER - MID STEP SERVICES

Laboratory Demographics

CLIA Number: 16D0925979

Facility Name: MID STEP SERVICES

Facility Address:
4303 STONE AVENUE
SIOUX CITY, IA
ZIP 51106
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Facility Phone Number: 712 274-2252

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1821349135

Taxonomy: 261QM0855X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

CLIA Record

Field Name	Field Value
CLIA Number	16D0925979
LAB Type	Home Health Agency
Facility Name	MID STEP SERVICES
Street	4303 STONE AVENUE
City	SIOUX CITY
State	IA
ZIP	51106
Phone	712 274-2252
CertificateType	4
CertificateEffectiveDate	3/12/2023
CertificateExpirationDate	3/11/2025
FacilityType	Waiver

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