16D2044723 CLIA NUMBER - HANSEN HOUSE

Laboratory Demographics

  • CLIA Code: 16D2044723
  • Facility Name: HANSEN HOUSE
  • Facility Address: 2331 NASH BOULEVARD
    COUNCIL BLUFFS, IA
    ZIP 51501
  • Facility Phone: 712 242-5734
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RON A. SEIBEL
  • NPI Number: 1174068969
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 16D2044723
LAB Type Assisted Living Facility
Facility Name HANSEN HOUSE
Street 2331 NASH BOULEVARD
City COUNCIL BLUFFS
State IA
ZIP 51501
Phone 712 242-5734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Assisted Living Facility
Lab Director RON A. SEIBEL

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