16D0387174 CLIA NUMBER - GOLDEN AGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 16D0387174
  • Facility Name: GOLDEN AGE CARE CENTER
  • Facility Address: 1915 SOUTH 18TH STREET
    CENTERVILLE, IA
    ZIP 52544
  • Facility Phone: 641 856-2757
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERRI L. BUCKALLEW
  • NPI Number: 1356428718
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0387174
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOLDEN AGE CARE CENTER
Street 1915 SOUTH 18TH STREET
City CENTERVILLE
State IA
ZIP 52544
Phone 641 856-2757
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 TERRI L. BUCKALLEW

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