16D2193700 CLIA NUMBER - AVOCA LODGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D2193700
  • Facility Name: AVOCA LODGE ASSISTED LIVING
  • Facility Address: 612 E YORK RD
    AVOCA, IA
    ZIP 51521
  • Facility Phone: 712 343-2400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DESTINY BOEVE
  • NPI Number: 1437206190
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2193700
LAB Type Assisted Living Facility
Facility Name AVOCA LODGE ASSISTED LIVING
Street 612 E YORK RD
City AVOCA
State IA
ZIP 51521
Phone 712 343-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Assisted Living Facility
Lab Director DESTINY BOEVE

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