16D1065180 CLIA NUMBER - WELLINGTON PLACE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D1065180
  • Facility Name: WELLINGTON PLACE ASSISTED LIVING
  • Facility Address: 2475 RIVER ROAD
    DECORAH, IA
    ZIP 52101
  • Facility Phone: 563 382-2292
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY MILLER
  • NPI Number: 1982822672
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1065180
LAB Type Other
Facility Name WELLINGTON PLACE ASSISTED LIVING
Street 2475 RIVER ROAD
City DECORAH
State IA
ZIP 52101
Phone 563 382-2292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Other
Lab Director MARY MILLER

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