16D2047676 CLIA NUMBER - HOMESTEAD OF ALBIA

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Laboratory Demographics

CLIA Number: 16D2047676

Facility Name: HOMESTEAD OF ALBIA

Facility Address:
6592 165TH STREET
ALBIA, IA
ZIP 52531
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Facility Phone Number: 641 932-2102

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1518217223

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	16D2047676
LAB Type	Assisted Living Facility
Facility Name	HOMESTEAD OF ALBIA
Street	6592 165TH STREET
City	ALBIA
State	IA
ZIP	52531
Phone	641 932-2102
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024