16D0382601 CLIA NUMBER - HERITAGE HOUSE

Laboratory Demographics

  • CLIA Code: 16D0382601
  • Facility Name: HERITAGE HOUSE
  • Facility Address: 1200 BROOKRIDGE CIRCLE
    ATLANTIC, IA
    ZIP 50022
  • Facility Phone: 712 243-1850
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LYNN MAURER
  • NPI Number: 1578674016
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0382601
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE HOUSE
Street 1200 BROOKRIDGE CIRCLE
City ATLANTIC
State IA
ZIP 50022
Phone 712 243-1850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LYNN MAURER

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