16D0648084 CLIA NUMBER - WELLINGTON PLACE

Laboratory Demographics

  • CLIA Code: 16D0648084
  • Facility Name: WELLINGTON PLACE
  • Facility Address: 2479 RIVER ROAD
    DECORAH, IA
    ZIP 52101
  • Facility Phone: 563 382-9691
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATY WOOD
  • NPI Number: 1992923684
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0648084
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WELLINGTON PLACE
Street 2479 RIVER ROAD
City DECORAH
State IA
ZIP 52101
Phone 563 382-9691
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 KATY WOOD

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