16D2092591 CLIA NUMBER - RICHLAND GROUP HOME

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CLIA Record

Field Name Field Value
CLIA Number 16D2092591
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RICHLAND GROUP HOME
Street 4049 RICHLAND
City WATERLOO
State IA
ZIP 50701
Phone 641 228-4842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHANNON COLLUM

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