16D1049664 CLIA NUMBER - NORTHERN HILLS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1049664
  • Facility Name: NORTHERN HILLS ASSISTED LIVING
  • Facility Address: 4002 TETON TRACE
    SIOUX CITY, IA
    ZIP 51104
  • Facility Phone: 712 239-9402
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GARY TROTH
  • NPI Number: 1013135730
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1049664
LAB Type Other
Facility Name NORTHERN HILLS ASSISTED LIVING
Street 4002 TETON TRACE
City SIOUX CITY
State IA
ZIP 51104
Phone 712 239-9402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Other
Lab Director GARY TROTH

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