16D0382894 CLIA NUMBER - MADRID HOME

Laboratory Demographics

  • CLIA Code: 16D0382894
  • Facility Name: MADRID HOME
  • Facility Address: 613 WEST NORTH STREET
    MADRID, IA
    ZIP 50156
  • Facility Phone: 515 795-3007
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BECKY PETERSON
  • NPI Number: 1346312683
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0382894
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MADRID HOME
Street 613 WEST NORTH STREET
City MADRID
State IA
ZIP 50156
Phone 515 795-3007
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 BECKY PETERSON

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