16D2311143 CLIA NUMBER - ONCARE HOSPICE IA LLC

Laboratory Demographics

  • CLIA Code: 16D2311143
  • Facility Name: ONCARE HOSPICE IA LLC
  • Facility Address: 4802 COUNCIL POINTE RD
    COUNCIL BLUFFS, IA
    ZIP 51501
  • Facility Phone: 402 403-4330
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHN C. BUCKLEY
  • NPI Number: 1669208567
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 16D2311143
LAB Type Hospice
Facility Name ONCARE HOSPICE IA LLC
Street 4802 COUNCIL POINTE RD
City COUNCIL BLUFFS
State IA
ZIP 51501
Phone 402 403-4330
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 Hospice
Lab Director JOHN C. BUCKLEY

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