16D1066874 CLIA NUMBER - WEST LIBERTY ASSISTED LIVING RESIDENCE

Laboratory Demographics

  • CLIA Code: 16D1066874
  • Facility Name: WEST LIBERTY ASSISTED LIVING RESIDENCE
  • Facility Address: 1000 NORTH MILLER STREET
    WEST LIBERTY, IA
    ZIP 52776
  • Facility Phone: 319 627-4775
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA HAZELWOOD
  • NPI Number: 1598812273
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 16D1066874
LAB Type Assisted Living Facility
Facility Name WEST LIBERTY ASSISTED LIVING RESIDENCE
Street 1000 NORTH MILLER STREET
City WEST LIBERTY
State IA
ZIP 52776
Phone 319 627-4775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Assisted Living Facility
Lab Director MELISSA HAZELWOOD

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