16D2193947 CLIA NUMBER - HILLCREST HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 16D2193947
  • Facility Name: HILLCREST HOSPICE LLC
  • Facility Address: 1702 WEST BROADWAY, SUITE 7
    COUNCIL BLUFFS, IA
    ZIP 51501
  • Facility Phone: 712 435-4910
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIELLE JENSEN
  • NPI Number: 1427665603
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 16D2193947
LAB Type Hospice
Facility Name HILLCREST HOSPICE LLC
Street 1702 WEST BROADWAY, SUITE 7
City COUNCIL BLUFFS
State IA
ZIP 51501
Phone 712 435-4910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Hospice
Lab Director DANIELLE JENSEN

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