16D1063152 CLIA NUMBER - WEL-LIFE AT SPIRIT LAKE

Laboratory Demographics

  • CLIA Code: 16D1063152
  • Facility Name: WEL-LIFE AT SPIRIT LAKE
  • Facility Address: 1819 23RD STREET
    SPIRIT LAKE, IA
    ZIP 51360
  • Facility Phone: 712 336-3553
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANITA VANDEN BRINK
  • NPI Number: 1063870152
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1063152
LAB Type Assisted Living Facility
Facility Name WEL-LIFE AT SPIRIT LAKE
Street 1819 23RD STREET
City SPIRIT LAKE
State IA
ZIP 51360
Phone 712 336-3553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Assisted Living Facility
Lab Director ANITA VANDEN BRINK

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