16D2023430 CLIA NUMBER - DAVE'S PLACE LLC DBA SOUTHEAST IOWA BEHAVIORAL HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 16D2023430
  • Facility Name: DAVE'S PLACE LLC DBA SOUTHEAST IOWA BEHAVIORAL HEALTHCARE CENTER
  • Facility Address: 3140 PLANK ROAD
    KEOKUK, IA
    ZIP 52632
  • Facility Phone: 319 524-1800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL BLUME
  • NPI Number: 1386946242
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2023430
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DAVE'S PLACE LLC DBA SOUTHEAST IOWA BEHAVIORAL HEALTHCARE CENTER
Street 3140 PLANK ROAD
City KEOKUK
State IA
ZIP 52632
Phone 319 524-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL BLUME

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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