16D1049755 CLIA NUMBER - CHERRY RIDGE INDEPENDENT & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1049755
  • Facility Name: CHERRY RIDGE INDEPENDENT & ASSISTED LIVING
  • Facility Address: 217 BUSINESS 30 SOUTHWEST
    MOUNT VERNON, IA
    ZIP 52314
  • Facility Phone: 319 895-8249
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA VANDERPLOEG
  • NPI Number: 1780686238
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1049755
LAB Type Assisted Living Facility
Facility Name CHERRY RIDGE INDEPENDENT & ASSISTED LIVING
Street 217 BUSINESS 30 SOUTHWEST
City MOUNT VERNON
State IA
ZIP 52314
Phone 319 895-8249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Assisted Living Facility
Lab Director JESSICA VANDERPLOEG

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