16D0908288 CLIA NUMBER - OGDEN MANOR

Laboratory Demographics

  • CLIA Code: 16D0908288
  • Facility Name: OGDEN MANOR
  • Facility Address: 625 EAST OAK STREET
    OGDEN, IA
    ZIP 50212
  • Facility Phone: 515 275-2481
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEANNA WILSON
  • NPI Number: 1295797579
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0908288
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OGDEN MANOR
Street 625 EAST OAK STREET
City OGDEN
State IA
ZIP 50212
Phone 515 275-2481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEANNA WILSON

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