16D2051229 CLIA NUMBER - LEAHY GROVE INDEPENDENT & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D2051229
  • Facility Name: LEAHY GROVE INDEPENDENT & ASSISTED LIVING
  • Facility Address: 800 2ND STREET SE
    HAMPTON, IA
    ZIP 50441
  • Facility Phone: 641 456-2701
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA YOUNGBLUT
  • NPI Number: 1700114451
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2051229
LAB Type Assisted Living Facility
Facility Name LEAHY GROVE INDEPENDENT & ASSISTED LIVING
Street 800 2ND STREET SE
City HAMPTON
State IA
ZIP 50441
Phone 641 456-2701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Assisted Living Facility
Lab Director LISA YOUNGBLUT

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