16D0386367 CLIA NUMBER - GOOD SAMARITAN SOCIETY-WEST UNION

Laboratory Demographics

  • CLIA Code: 16D0386367
  • Facility Name: GOOD SAMARITAN SOCIETY-WEST UNION
  • Facility Address: 201 HALL STREET
    WEST UNION, IA
    ZIP 52175
  • Facility Phone: 563 422-3814
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MORDECHAI LEDERMAN
  • NPI Number: 1952488348
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0386367
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SAMARITAN SOCIETY-WEST UNION
Street 201 HALL STREET
City WEST UNION
State IA
ZIP 52175
Phone 563 422-3814
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 MORDECHAI LEDERMAN

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