16D2045196 CLIA NUMBER - ST CROIX HOSPICE - ANKENY

Laboratory Demographics

  • CLIA Code: 16D2045196
  • Facility Name: ST CROIX HOSPICE - ANKENY
  • Facility Address: 1555 SE DELAWARE AVE, SUITE Q
    ANKENY, IA
    ZIP 50021
  • Facility Phone: 515 276-2700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JEFFERY MARTIN
  • NPI Number: 1114273828
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 16D2045196
LAB Type Hospice
Facility Name ST CROIX HOSPICE - ANKENY
Street 1555 SE DELAWARE AVE, SUITE Q
City ANKENY
State IA
ZIP 50021
Phone 515 276-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Hospice
Lab Director JEFFERY MARTIN

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