16D1095473 CLIA NUMBER - IOWA RIVER HOSPICE

Laboratory Demographics

  • CLIA Code: 16D1095473
  • Facility Name: IOWA RIVER HOSPICE
  • Facility Address: 502 PLAZA HEIGHTS ROAD
    MARSHALLTOWN, IA
    ZIP 50158
  • Facility Phone: 641 753-7704
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHAUNA CALLAWAY
  • NPI Number: 1396731535
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 16D1095473
LAB Type Hospice
Facility Name IOWA RIVER HOSPICE
Street 502 PLAZA HEIGHTS ROAD
City MARSHALLTOWN
State IA
ZIP 50158
Phone 641 753-7704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Hospice
Lab Director SHAUNA CALLAWAY

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