16D0948916 CLIA NUMBER - BARTHELL O E S HOME

Laboratory Demographics

  • CLIA Code: 16D0948916
  • Facility Name: BARTHELL O E S HOME
  • Facility Address: 911 RIDGEWOOD DRIVE
    DECORAH, IA
    ZIP 52101
  • Facility Phone: 563 382-8787
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KARL T. JACOBSEN, RN
  • NPI Number: 1285620526
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0948916
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BARTHELL O E S HOME
Street 911 RIDGEWOOD DRIVE
City DECORAH
State IA
ZIP 52101
Phone 563 382-8787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KARL T. JACOBSEN, RN

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