16D0936774 CLIA NUMBER - AZRIA HEALTH PRAIRIE RIDGE

Laboratory Demographics

  • CLIA Code: 16D0936774
  • Facility Name: AZRIA HEALTH PRAIRIE RIDGE
  • Facility Address: 608 PRAIRIE STREET
    MEDIAPOLIS, IA
    ZIP 52637
  • Facility Phone: 319 394-3991
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PEARL M. BAUDER
  • NPI Number: 1598325524
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0936774
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AZRIA HEALTH PRAIRIE RIDGE
Street 608 PRAIRIE STREET
City MEDIAPOLIS
State IA
ZIP 52637
Phone 319 394-3991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PEARL M. BAUDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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