16D0648127 CLIA NUMBER - LIVING CENTER WEST

Laboratory Demographics

  • CLIA Code: 16D0648127
  • Facility Name: LIVING CENTER WEST
  • Facility Address: 1050 FOURTH AVENUE SE
    CEDAR RAPIDS, IA
    ZIP 52403
  • Facility Phone: 319 366-8714
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARAH DIETZE
  • NPI Number: 1497714117
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0648127
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIVING CENTER WEST
Street 1050 FOURTH AVENUE SE
City CEDAR RAPIDS
State IA
ZIP 52403
Phone 319 366-8714
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 SARAH DIETZE

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