16D2149385 CLIA NUMBER - BRIGHTSTAR CARE CEDAR RAPIDS/IOWA CITY

Laboratory Demographics

  • CLIA Code: 16D2149385
  • Facility Name: BRIGHTSTAR CARE CEDAR RAPIDS/IOWA CITY
  • Facility Address: 4080 1ST AVE NE STE #103
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 363-2721
  • Facility Type: Other - SUPPORT HOME CARE AGENCY
  • Facility Type: Waiver
  • Lab Director: WILFORD L. BOTT
  • NPI Number: 1437652401
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 16D2149385
LAB Type Other - SUPPORT HOME CARE AGENCY
Facility Name BRIGHTSTAR CARE CEDAR RAPIDS/IOWA CITY
Street 4080 1ST AVE NE STE #103
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 363-2721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Other - SUPPORT HOME CARE AGENCY
Lab Director WILFORD L. BOTT

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