16D0925978 CLIA NUMBER - RIDGEWOOD SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 16D0925978
  • Facility Name: RIDGEWOOD SPECIALTY CARE
  • Facility Address: 1977 ALBIA ROAD
    OTTUMWA, IA
    ZIP 52501
  • Facility Phone: 641 683-3111
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALEXANDER G. BUFFINGTON
  • NPI Number: 1811960370
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0925978
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIDGEWOOD SPECIALTY CARE
Street 1977 ALBIA ROAD
City OTTUMWA
State IA
ZIP 52501
Phone 641 683-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALEXANDER G. BUFFINGTON

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