16D1063684 CLIA NUMBER - WINDSOR MANOR VINTON

Laboratory Demographics

  • CLIA Code: 16D1063684
  • Facility Name: WINDSOR MANOR VINTON
  • Facility Address: 1807 WEST 5TH STREET
    VINTON, IA
    ZIP 52349
  • Facility Phone: 319 472-2060
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA STAAB
  • NPI Number: 1467674630
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1063684
LAB Type Assisted Living Facility
Facility Name WINDSOR MANOR VINTON
Street 1807 WEST 5TH STREET
City VINTON
State IA
ZIP 52349
Phone 319 472-2060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Assisted Living Facility
Lab Director LISA STAAB

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