16D1053859 CLIA NUMBER - KEYSTONE CEDARS ASSISTED LIVING RESIDENCE

Laboratory Demographics

  • CLIA Code: 16D1053859
  • Facility Name: KEYSTONE CEDARS ASSISTED LIVING RESIDENCE
  • Facility Address: 6325 ROCKWELL DRIVE NE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 393-9500
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AMANDA PINS
  • NPI Number: 1891965695
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1053859
LAB Type Other
Facility Name KEYSTONE CEDARS ASSISTED LIVING RESIDENCE
Street 6325 ROCKWELL DRIVE NE
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 393-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Other
Lab Director AMANDA PINS

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