16D0385403 CLIA NUMBER - FELLOWSHIP VILLAGE

Laboratory Demographics

  • CLIA Code: 16D0385403
  • Facility Name: FELLOWSHIP VILLAGE
  • Facility Address: 300 EAST JEFFERSON STREET
    INWOOD, IA
    ZIP 51240
  • Facility Phone: 712 753-4663
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BONNIE HUYSER
  • NPI Number: 1356317820
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0385403
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FELLOWSHIP VILLAGE
Street 300 EAST JEFFERSON STREET
City INWOOD
State IA
ZIP 51240
Phone 712 753-4663
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 BONNIE HUYSER

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