16D2279756 CLIA NUMBER - IVORY PLAINS RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 16D2279756
  • Facility Name: IVORY PLAINS RECOVERY CENTER
  • Facility Address: 608 NORTH AVE
    ADAIR, IA
    ZIP 50002
  • Facility Phone: 888 778-5833
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DAVID P. NYSTROM
  • NPI Number: 1922795541
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2279756
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name IVORY PLAINS RECOVERY CENTER
Street 608 NORTH AVE
City ADAIR
State IA
ZIP 50002
Phone 888 778-5833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DAVID P. NYSTROM

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