16D0881157 CLIA NUMBER - TRIPOLI NURSING HOME

Laboratory Demographics

  • CLIA Code: 16D0881157
  • Facility Name: TRIPOLI NURSING HOME
  • Facility Address: 604 THIRD STREET SW
    TRIPOLI, IA
    ZIP 50676
  • Facility Phone: 319 882-4269
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KAYLA PETERS
  • NPI Number: 1932161106
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0881157
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRIPOLI NURSING HOME
Street 604 THIRD STREET SW
City TRIPOLI
State IA
ZIP 50676
Phone 319 882-4269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KAYLA PETERS

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This page was last updated on: 3/20/2025