16D1084991 CLIA NUMBER - RIVER VALLEY PLACE OF FORT MADISON

Laboratory Demographics

  • CLIA Code: 16D1084991
  • Facility Name: RIVER VALLEY PLACE OF FORT MADISON
  • Facility Address: 5025 RIVER VALLEY ROAD
    FORT MADISON, IA
    ZIP 52627
  • Facility Phone: 319 372-8611
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGIE WHITAKER
  • NPI Number: 1013169929
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D1084991
LAB Type Assisted Living Facility
Facility Name RIVER VALLEY PLACE OF FORT MADISON
Street 5025 RIVER VALLEY ROAD
City FORT MADISON
State IA
ZIP 52627
Phone 319 372-8611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Assisted Living Facility
Lab Director ANGIE WHITAKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025