Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
16D1003297
|
|
Clinical laboratory number
|
|
Lab Name
|
IMAGINE THE POSSIBILITIES, INC
|
|
Laboratory Name
|
|
Lab Type
|
Other - RESIDENTIAL CARE FACILITY
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
563-212-7571
|
|
Laboratory telephone number
|
|
Fax
|
563-652-4872
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
ANDREW JACKSON CARE CENTER
|
|
Primary location adress line
|
|
City
|
BELLEVUE
|
|
Primary location city name
|
|
State
|
IA
|
|
Primary location state name
|
|
Zip
|
52031
|
|
Primary location postal code
|