16D2313972 CLIA NUMBER - PLEASANT HILL REHAB LLC

Laboratory Demographics

  • CLIA Code: 16D2313972
  • Facility Name: PLEASANT HILL REHAB LLC
  • Facility Address: 6132 NE 12TH AVE
    PLEASANT HILL, IA
    ZIP 50327
  • Facility Phone: 515 824-5154
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: WILLIAM COOKE
  • NPI Number: 1821143207
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 16D2313972
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name PLEASANT HILL REHAB LLC
Street 6132 NE 12TH AVE
City PLEASANT HILL
State IA
ZIP 50327
Phone 515 824-5154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Other - SUBSTANCE USE DISORDER TR
Lab Director WILLIAM COOKE

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This page was last updated on: 3/20/2025