16D2193091 CLIA NUMBER - ODEBOLT ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D2193091
  • Facility Name: ODEBOLT ASSISTED LIVING
  • Facility Address: 799 S DES MOINES STREET
    ODEBOLT, IA
    ZIP 51458
  • Facility Phone: 712 668-4867
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH MESCHER
  • NPI Number: 1417174772
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2193091
LAB Type Assisted Living Facility
Facility Name ODEBOLT ASSISTED LIVING
Street 799 S DES MOINES STREET
City ODEBOLT
State IA
ZIP 51458
Phone 712 668-4867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Assisted Living Facility
Lab Director ELIZABETH MESCHER

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