16D0981050 CLIA NUMBER - PINICON PLACE

Laboratory Demographics

  • CLIA Code: 16D0981050
  • Facility Name: PINICON PLACE
  • Facility Address: 1615 BRECA RIDGE DR
    ANAMOSA, IA
    ZIP 52205
  • Facility Phone: 319 462-3070
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MYRBERG
  • NPI Number: 1730550583
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D0981050
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINICON PLACE
Street 1615 BRECA RIDGE DR
City ANAMOSA
State IA
ZIP 52205
Phone 319 462-3070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEPHANIE MYRBERG

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