16D0957539 CLIA NUMBER - AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 16D0957539
  • Facility Name: AVEANNA HEALTHCARE
  • Facility Address: 2020 INDIAN HILLS DR, STE 100
    SIOUX CITY, IA
    ZIP 51104
  • Facility Phone: 712 233-5494
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMANDA WILLIAMS
  • NPI Number: 1164429486
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D0957539
LAB Type Home Health Agency
Facility Name AVEANNA HEALTHCARE
Street 2020 INDIAN HILLS DR, STE 100
City SIOUX CITY
State IA
ZIP 51104
Phone 712 233-5494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Home Health Agency
Lab Director AMANDA WILLIAMS

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