16D1062128 CLIA NUMBER - MARION AL MC, LLC DBA THOMAS GROVE

Laboratory Demographics

  • CLIA Code: 16D1062128
  • Facility Name: MARION AL MC, LLC DBA THOMAS GROVE
  • Facility Address: 365 MARION BLVD
    MARION, IA
    ZIP 52302
  • Facility Phone: 319 377-9808
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MELINDA HALLETT
  • NPI Number: 1639912280
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1062128
LAB Type Assisted Living Facility
Facility Name MARION AL MC, LLC DBA THOMAS GROVE
Street 365 MARION BLVD
City MARION
State IA
ZIP 52302
Phone 319 377-9808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Assisted Living Facility
Lab Director MELINDA HALLETT

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