16D0382745 CLIA NUMBER - MAYFLOWER HOME

Laboratory Demographics

  • CLIA Code: 16D0382745
  • Facility Name: MAYFLOWER HOME
  • Facility Address: 616 BROAD STREET
    GRINNELL, IA
    ZIP 50112
  • Facility Phone: 641 236-6151
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VICKIE WIECK
  • NPI Number: 1073717153
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0382745
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAYFLOWER HOME
Street 616 BROAD STREET
City GRINNELL
State IA
ZIP 50112
Phone 641 236-6151
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 VICKIE WIECK

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