16D0382942 CLIA NUMBER - SOUTHRIDGE SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0382942
  • Facility Name: SOUTHRIDGE SPECIALTY CARE
  • Facility Address: 309 W MERLE HIBBS BLVD
    MARSHALLTOWN, IA
    ZIP 50158
  • Facility Phone: 641 752-4553
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARIA OLBERDING
  • NPI Number: 1700858719
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0382942
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHRIDGE SPECIALTY CARE
Street 309 W MERLE HIBBS BLVD
City MARSHALLTOWN
State IA
ZIP 50158
Phone 641 752-4553
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 DR. MARIA OLBERDING

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