16D0714752 CLIA NUMBER - ROLLING GREEN VILLAGE

Laboratory Demographics

  • CLIA Code: 16D0714752
  • Facility Name: ROLLING GREEN VILLAGE
  • Facility Address: 100 SOUTH SIXTH STREET
    NEVADA, IA
    ZIP 50201
  • Facility Phone: 515 382-6556
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA CHATMAN
  • NPI Number: 1932101482
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0714752
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROLLING GREEN VILLAGE
Street 100 SOUTH SIXTH STREET
City NEVADA
State IA
ZIP 50201
Phone 515 382-6556
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 DEBRA CHATMAN

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