16D2045473 CLIA NUMBER - ST CROIX HOSPICE - COUNCIL BLUFFS

Laboratory Demographics

  • CLIA Code: 16D2045473
  • Facility Name: ST CROIX HOSPICE - COUNCIL BLUFFS
  • Facility Address: 1920 RUE STREET SUITE 3
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 712 318-2120
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TRACEE GETTYS
  • NPI Number: 1871840975
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 16D2045473
LAB Type Hospice
Facility Name ST CROIX HOSPICE - COUNCIL BLUFFS
Street 1920 RUE STREET SUITE 3
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 712 318-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Hospice
Lab Director TRACEE GETTYS

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