16D1049292 CLIA NUMBER - MULBERRY PLACE INDEPENDENT & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1049292
  • Facility Name: MULBERRY PLACE INDEPENDENT & ASSISTED LIVING
  • Facility Address: 11 DEBORAH DRIVE
    BLOOMFIELD, IA
    ZIP 52537
  • Facility Phone: 641 664-2699
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NANCY NEWMAN
  • NPI Number: 1346242930
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1049292
LAB Type Assisted Living Facility
Facility Name MULBERRY PLACE INDEPENDENT & ASSISTED LIVING
Street 11 DEBORAH DRIVE
City BLOOMFIELD
State IA
ZIP 52537
Phone 641 664-2699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Assisted Living Facility
Lab Director NANCY NEWMAN

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