16D2206335 CLIA NUMBER - FRIENDLY HORIZONS, LLC

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Laboratory Demographics

CLIA Number: 16D2206335

Facility Name: FRIENDLY HORIZONS, LLC

Facility Address:
645 1ST AVE SW
SIOUX CENTER, IA
ZIP 51250
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Facility Phone Number: 712 722-5153

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1881277465

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	16D2206335
LAB Type	Assisted Living Facility
Facility Name	FRIENDLY HORIZONS, LLC
Street	645 1ST AVE SW
City	SIOUX CENTER
State	IA
ZIP	51250
Phone	712 722-5153
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024