16D0702664 CLIA NUMBER - FRIENDSHIP VILLAGE

Laboratory Demographics

CLIA Number: 16D0702664

Facility Name: FRIENDSHIP VILLAGE

Facility Address:
600 PARK LANE
WATERLOO, IA
ZIP 50702
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Facility Phone Number: 319 291-8250

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1164089157

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	16D0702664
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	FRIENDSHIP VILLAGE
Street	600 PARK LANE
City	WATERLOO
State	IA
ZIP	50702
Phone	319 291-8250
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024