16D0385365 CLIA NUMBER - SUNRISE MANOR

Laboratory Demographics

  • CLIA Code: 16D0385365
  • Facility Name: SUNRISE MANOR
  • Facility Address: 5501 GORDON DRIVE EAST
    SIOUX CITY, IA
    ZIP 51106
  • Facility Phone: 712 276-3821
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MINDEE KNUDSON
  • NPI Number: 1194780189
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0385365
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNRISE MANOR
Street 5501 GORDON DRIVE EAST
City SIOUX CITY
State IA
ZIP 51106
Phone 712 276-3821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MINDEE KNUDSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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