16D0667035 CLIA NUMBER - MONTEZUMA NURSING & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 16D0667035
  • Facility Name: MONTEZUMA NURSING & REHAB CENTER
  • Facility Address: 316 MEADOW LANE DRIVE P O BOX 790
    MONTEZUMA, IA
    ZIP 50171
  • Facility Phone: 641 623-5497
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAURA GOELZ
  • NPI Number: 1851364962
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0667035
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTEZUMA NURSING & REHAB CENTER
Street 316 MEADOW LANE DRIVE P O BOX 790
City MONTEZUMA
State IA
ZIP 50171
Phone 641 623-5497
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 LAURA GOELZ

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