16D0969124 CLIA NUMBER - CEDAR VALLEY HOSPICE

Laboratory Demographics

  • CLIA Code: 16D0969124
  • Facility Name: CEDAR VALLEY HOSPICE
  • Facility Address: 2001 KIMBALL AVENUE PO BOX 2880
    WATERLOO, IA
    ZIP 50704
  • Facility Phone: 319 272-2002
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAELA VANDERSEE
  • NPI Number: 1730304619
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 16D0969124
LAB Type Hospice
Facility Name CEDAR VALLEY HOSPICE
Street 2001 KIMBALL AVENUE PO BOX 2880
City WATERLOO
State IA
ZIP 50704
Phone 319 272-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Hospice
Lab Director MICHAELA VANDERSEE

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