16D1057218 CLIA NUMBER - ABCM CORPORATION/COURTYARD ASSISTED LIVING

Laboratory Demographics

CLIA Number: 16D1057218

Facility Name: ABCM CORPORATION/COURTYARD ASSISTED LIVING

Facility Address:
401 WEST 10TH AVENUE NORTH
CLEAR LAKE, IA
ZIP 50428
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Facility Phone Number: 641 357-1648

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1083081707

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D1057218
LAB Type	Other
Facility Name	ABCM CORPORATION/COURTYARD ASSISTED LIVING
Street	401 WEST 10TH AVENUE NORTH
City	CLEAR LAKE
State	IA
ZIP	50428
Phone	641 357-1648
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024