16D1003297 CLIA NUMBER - IMAGINE THE POSSIBILITIES, INC

Laboratory Demographics

CLIA Code: 16D1003297
Facility Name: IMAGINE THE POSSIBILITIES, INC
Facility Address: ANDREW JACKSON CARE CENTER 18720 250TH AVENUE
BELLEVUE, IA
ZIP 52031
Facility Phone: 563 212-7571
Facility Type: Other - RESIDENTIAL CARE FACILITY
Facility Type: Waiver
Lab Director: CHRIS L. KERTELS
NPI Number: 1043554629
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	16D1003297
LAB Type	Other - RESIDENTIAL CARE FACILITY
Facility Name	IMAGINE THE POSSIBILITIES, INC
Street	ANDREW JACKSON CARE CENTER 18720 250TH AVENUE
City	BELLEVUE
State	IA
ZIP	52031
Phone	563 212-7571
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/27/2025
Certificate Expiration Date	3/26/2027
Facility Type	Other - RESIDENTIAL CARE FACILITY
Lab Director	CHRIS L. KERTELS

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