16D0386912 CLIA NUMBER - NORTHBROOK MANOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 16D0386912
  • Facility Name: NORTHBROOK MANOR CARE CENTER
  • Facility Address: 6420 COUNCIL STREET NE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 393-1447
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARLENE L. BAKER
  • NPI Number: 1023005105
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0386912
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHBROOK MANOR CARE CENTER
Street 6420 COUNCIL STREET NE
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 393-1447
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 CHARLENE L. BAKER

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