16D2033221 CLIA NUMBER - INDIAN CREEK INDEPENDENT & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D2033221
  • Facility Name: INDIAN CREEK INDEPENDENT & ASSISTED LIVING
  • Facility Address: 100 SOUTH 6TH STREET
    NEVADA, IA
    ZIP 50201
  • Facility Phone: 515 382-1620
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA CHATMAN
  • NPI Number: 1861760688
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2033221
LAB Type Assisted Living Facility
Facility Name INDIAN CREEK INDEPENDENT & ASSISTED LIVING
Street 100 SOUTH 6TH STREET
City NEVADA
State IA
ZIP 50201
Phone 515 382-1620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Assisted Living Facility
Lab Director DEBRA CHATMAN

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