16D1061185 CLIA NUMBER - COUNTRY MEADOW PLACE, LLC

Laboratory Demographics

  • CLIA Code: 16D1061185
  • Facility Name: COUNTRY MEADOW PLACE, LLC
  • Facility Address: 17369 KINGBIRD AVENUE
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 423-7722
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BOYD
  • NPI Number: 1912076332
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1061185
LAB Type Assisted Living Facility
Facility Name COUNTRY MEADOW PLACE, LLC
Street 17369 KINGBIRD AVENUE
City MASON CITY
State IA
ZIP 50401
Phone 641 423-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY BOYD

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