16D0978818 CLIA NUMBER - WEL-LIFE AT ALTA

Laboratory Demographics

  • CLIA Code: 16D0978818
  • Facility Name: WEL-LIFE AT ALTA
  • Facility Address: 705 W 7TH ST
    ALTA, IA
    ZIP 51002
  • Facility Phone: 712 200-2620
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KOLE PETERSEN
  • NPI Number: 1366800450
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0978818
LAB Type Assisted Living Facility
Facility Name WEL-LIFE AT ALTA
Street 705 W 7TH ST
City ALTA
State IA
ZIP 51002
Phone 712 200-2620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Assisted Living Facility
Lab Director KOLE PETERSEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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