16D1050453 CLIA NUMBER - ARLINGTON PLACE OF POCAHONTAS

Laboratory Demographics

  • CLIA Code: 16D1050453
  • Facility Name: ARLINGTON PLACE OF POCAHONTAS
  • Facility Address: 101 NE 5TH STREET
    POCAHONTAS, IA
    ZIP 50574
  • Facility Phone: 712 335-3020
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY JO MILLER-GRANDFIELD
  • NPI Number: 1063750818
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1050453
LAB Type Assisted Living Facility
Facility Name ARLINGTON PLACE OF POCAHONTAS
Street 101 NE 5TH STREET
City POCAHONTAS
State IA
ZIP 50574
Phone 712 335-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Assisted Living Facility
Lab Director MARY JO MILLER-GRANDFIELD

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