16D1035667 CLIA NUMBER - STONEBRIDGE SUITES OF LE MARS, LLC

Laboratory Demographics

  • CLIA Code: 16D1035667
  • Facility Name: STONEBRIDGE SUITES OF LE MARS, LLC
  • Facility Address: 900 LINCOLN STREET NE
    LE MARS, IA
    ZIP 51031
  • Facility Phone: 712 546-6793
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DONDEE HALVERSON
  • NPI Number: 1013079102
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1035667
LAB Type Assisted Living Facility
Facility Name STONEBRIDGE SUITES OF LE MARS, LLC
Street 900 LINCOLN STREET NE
City LE MARS
State IA
ZIP 51031
Phone 712 546-6793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Assisted Living Facility
Lab Director DONDEE HALVERSON

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