16D1052854 CLIA NUMBER - CARDINAL GROVE INDEPENDENT & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1052854
  • Facility Name: CARDINAL GROVE INDEPENDENT & ASSISTED LIVING
  • Facility Address: 1355 DIVISION ST
    GARNER, IA
    ZIP 50438
  • Facility Phone: 641 923-2114
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KAITLYN KLOSER
  • NPI Number: 1962404590
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1052854
LAB Type Assisted Living Facility
Facility Name CARDINAL GROVE INDEPENDENT & ASSISTED LIVING
Street 1355 DIVISION ST
City GARNER
State IA
ZIP 50438
Phone 641 923-2114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Assisted Living Facility
Lab Director KAITLYN KLOSER

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