16D2110598 CLIA NUMBER - STONEY BROOK VILLAGE

Laboratory Demographics

  • CLIA Code: 16D2110598
  • Facility Name: STONEY BROOK VILLAGE
  • Facility Address: 705 SOUTH PINE STREET
    WEST UNION, IA
    ZIP 52175
  • Facility Phone: 563 422-7145
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KATHRYN J. MOSER
  • NPI Number: 1467666792
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2110598
LAB Type Assisted Living Facility
Facility Name STONEY BROOK VILLAGE
Street 705 SOUTH PINE STREET
City WEST UNION
State IA
ZIP 52175
Phone 563 422-7145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Assisted Living Facility
Lab Director KATHRYN J. MOSER

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