16D1058138 CLIA NUMBER - PRAIRIE HILLS AT CLINTON

Laboratory Demographics

  • CLIA Code: 16D1058138
  • Facility Name: PRAIRIE HILLS AT CLINTON
  • Facility Address: 1701 13TH AVENUE NORTH
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 243-6870
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: COREY SCHROEDER
  • NPI Number: 1316152564
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1058138
LAB Type Assisted Living Facility
Facility Name PRAIRIE HILLS AT CLINTON
Street 1701 13TH AVENUE NORTH
City CLINTON
State IA
ZIP 52732
Phone 563 243-6870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Assisted Living Facility
Lab Director COREY SCHROEDER

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This page was last updated on: 3/20/2025