16D1057218 CLIA NUMBER - COURTYARD INDEPENDENT & ASSISTED LIVING, THE

Laboratory Demographics

  • CLIA Code: 16D1057218
  • Facility Name: COURTYARD INDEPENDENT & ASSISTED LIVING, THE
  • Facility Address: 401 WEST 10TH AVENUE NORTH
    CLEAR LAKE, IA
    ZIP 50428
  • Facility Phone: 319 347-1648
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRYSTAL THOE
  • NPI Number: 1083081707
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1057218
LAB Type Assisted Living Facility
Facility Name COURTYARD INDEPENDENT & ASSISTED LIVING, THE
Street 401 WEST 10TH AVENUE NORTH
City CLEAR LAKE
State IA
ZIP 50428
Phone 319 347-1648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Assisted Living Facility
Lab Director KRYSTAL THOE

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