16D0719131 CLIA NUMBER - GLEN HAVEN HOME INC DBA GLENWOOD HAVEN VILLAGE

Laboratory Demographics

  • CLIA Code: 16D0719131
  • Facility Name: GLEN HAVEN HOME INC DBA GLENWOOD HAVEN VILLAGE
  • Facility Address: 133 INDIAN HILLS DR
    GLENWOOD, IA
    ZIP 51534
  • Facility Phone: 712 527-3101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DUSTIN ARCHER-MCCLAIN
  • NPI Number: 1528146172
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0719131
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLEN HAVEN HOME INC DBA GLENWOOD HAVEN VILLAGE
Street 133 INDIAN HILLS DR
City GLENWOOD
State IA
ZIP 51534
Phone 712 527-3101
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 DUSTIN ARCHER-MCCLAIN

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