16D0857499 CLIA NUMBER - PRAIRIE VIEW MANAGEMENT INC

Laboratory Demographics

  • CLIA Code: 16D0857499
  • Facility Name: PRAIRIE VIEW MANAGEMENT INC
  • Facility Address: 18569 LANE ROAD
    FAYETTE, IA
    ZIP 52142
  • Facility Phone: 563 425-3291
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LAURA VAN HORN
  • NPI Number: 1477634236
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0857499
LAB Type Other
Facility Name PRAIRIE VIEW MANAGEMENT INC
Street 18569 LANE ROAD
City FAYETTE
State IA
ZIP 52142
Phone 563 425-3291
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 Other
Lab Director LAURA VAN HORN

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