16D1035268 CLIA NUMBER - SUNRISE VILLA ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1035268
  • Facility Name: SUNRISE VILLA ASSISTED LIVING
  • Facility Address: 308 NORTH 12TH STREET
    BELLEVUE, IA
    ZIP 52031
  • Facility Phone: 563 872-5521
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LENAE SIEVERDING
  • NPI Number: 1821215369
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1035268
LAB Type Other
Facility Name SUNRISE VILLA ASSISTED LIVING
Street 308 NORTH 12TH STREET
City BELLEVUE
State IA
ZIP 52031
Phone 563 872-5521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Other
Lab Director LENAE SIEVERDING

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