16D2167102 CLIA NUMBER - HILLCREST HOME INC

Laboratory Demographics

  • CLIA Code: 16D2167102
  • Facility Name: HILLCREST HOME INC
  • Facility Address: 915 W 1ST ST
    SUMNER, IA
    ZIP 50674
  • Facility Phone: 563 578-8591
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LARISSA L. DUGAN
  • NPI Number: 1912012436
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2167102
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLCREST HOME INC
Street 915 W 1ST ST
City SUMNER
State IA
ZIP 50674
Phone 563 578-8591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LARISSA L. DUGAN

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