16D1057376 CLIA NUMBER - APPLE VALLEY ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1057376
  • Facility Name: APPLE VALLEY ASSISTED LIVING
  • Facility Address: 405 27TH AVENUE SOUTH
    CLEAR LAKE, IA
    ZIP 50428
  • Facility Phone: 641 357-7083
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TERRI A. COSSELMAN
  • NPI Number: 1508085879
  • Taxonomy: 305S00000X - Point of Service

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CLIA Record

Field Name Field Value
CLIA Number 16D1057376
LAB Type Other
Facility Name APPLE VALLEY ASSISTED LIVING
Street 405 27TH AVENUE SOUTH
City CLEAR LAKE
State IA
ZIP 50428
Phone 641 357-7083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Other
Lab Director TERRI A. COSSELMAN

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