16D2044672 CLIA NUMBER - MAIN STREET MANOR

Home > CLIA Lookup > 16D2044672

Laboratory Demographics

CLIA Number: 16D2044672

Facility Name: MAIN STREET MANOR

Facility Address:
207 3RD STREET NORTH, PO BOX 189
SWEA CITY, IA
ZIP 50590
Get Directions

Facility Phone Number: 515 477-0139

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1871955864

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	16D2044672
LAB Type	Assisted Living Facility
Facility Name	MAIN STREET MANOR
Street	207 3RD STREET NORTH, PO BOX 189
City	SWEA CITY
State	IA
ZIP	50590
Phone	515 477-0139
CertificateType	4
CertificateEffectiveDate	7/27/2022
CertificateExpirationDate	7/26/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024