16D1064974 CLIA NUMBER - LINCOLNWAY VILLA ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1064974
  • Facility Name: LINCOLNWAY VILLA ASSISTED LIVING
  • Facility Address: 320 EAST LINCOLNWAY, PO BOX 369
    WHEATLAND, IA
    ZIP 52777
  • Facility Phone: 563 374-1711
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: NICHELLE STERNER
  • NPI Number: 1962629410
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1064974
LAB Type Other
Facility Name LINCOLNWAY VILLA ASSISTED LIVING
Street 320 EAST LINCOLNWAY, PO BOX 369
City WHEATLAND
State IA
ZIP 52777
Phone 563 374-1711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other
Lab Director NICHELLE STERNER

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