16D1049663 CLIA NUMBER - FOX RUN ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1049663
  • Facility Name: FOX RUN ASSISTED LIVING
  • Facility Address: 3121 MACINEERY DRIVE
    COUNCIL BLUFFS, IA
    ZIP 51501
  • Facility Phone: 712 256-2741
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DONALD RIDDER
  • NPI Number: 1376707760
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1049663
LAB Type Other
Facility Name FOX RUN ASSISTED LIVING
Street 3121 MACINEERY DRIVE
City COUNCIL BLUFFS
State IA
ZIP 51501
Phone 712 256-2741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Other
Lab Director DONALD RIDDER

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