16D2044271 CLIA NUMBER - IOWA HOSPICE LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 16D2044271
  • Facility Name: IOWA HOSPICE LLC DBA GENTIVA
  • Facility Address: 5399 CHIMRA ROAD
    PANORA, IA
    ZIP 50216
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE Y. BEASLEY
  • NPI Number: 1306946900
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2044271
LAB Type Hospice
Facility Name IOWA HOSPICE LLC DBA GENTIVA
Street 5399 CHIMRA ROAD
City PANORA
State IA
ZIP 50216
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Hospice
Lab Director SELECE Y. BEASLEY

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