16D0901361 CLIA NUMBER - MILL POND RETIREMENT HOME

Laboratory Demographics

  • CLIA Code: 16D0901361
  • Facility Name: MILL POND RETIREMENT HOME
  • Facility Address: 1201 SE MILL POND COURT
    ANKENY, IA
    ZIP 50021
  • Facility Phone: 515 964-2273
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER HODGES
  • NPI Number: 1619080462
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0901361
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILL POND RETIREMENT HOME
Street 1201 SE MILL POND COURT
City ANKENY
State IA
ZIP 50021
Phone 515 964-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER HODGES

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