16D2021700 CLIA NUMBER - BELLE HAVEN INDEPENDENT AND ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D2021700
  • Facility Name: BELLE HAVEN INDEPENDENT AND ASSISTED LIVING
  • Facility Address: 815 LUICKS LANE N
    BELMOND, IA
    ZIP 50421
  • Facility Phone: 641 444-4580
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MONICA FREERKS
  • NPI Number: 1477555068
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2021700
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BELLE HAVEN INDEPENDENT AND ASSISTED LIVING
Street 815 LUICKS LANE N
City BELMOND
State IA
ZIP 50421
Phone 641 444-4580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MONICA FREERKS

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This page was last updated on: 6/4/2025