16D1064977 CLIA NUMBER - SUNSET PARK PLACE COMPANY LLC

Laboratory Demographics

  • CLIA Code: 16D1064977
  • Facility Name: SUNSET PARK PLACE COMPANY LLC
  • Facility Address: 3730 PENNSYLVANIA AVENUE
    DUBUQUE, IA
    ZIP 52002
  • Facility Phone: 563 583-7939
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JERRY BELL
  • NPI Number: 1114137601
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1064977
LAB Type Assisted Living Facility
Facility Name SUNSET PARK PLACE COMPANY LLC
Street 3730 PENNSYLVANIA AVENUE
City DUBUQUE
State IA
ZIP 52002
Phone 563 583-7939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Assisted Living Facility
Lab Director JERRY BELL

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