16D0383127 CLIA NUMBER - BETHANY MANOR

Laboratory Demographics

  • CLIA Code: 16D0383127
  • Facility Name: BETHANY MANOR
  • Facility Address: 212 LAFAYETTE AVENUE
    STORY CITY, IA
    ZIP 50248
  • Facility Phone: 515 733-4325
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NANCY CARLSON
  • NPI Number: 1952456444
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0383127
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETHANY MANOR
Street 212 LAFAYETTE AVENUE
City STORY CITY
State IA
ZIP 50248
Phone 515 733-4325
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 NANCY CARLSON

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