16D2123271 CLIA NUMBER - KEYSTONE NORTH LIBERTY, LLC

Laboratory Demographics

  • CLIA Code: 16D2123271
  • Facility Name: KEYSTONE NORTH LIBERTY, LLC
  • Facility Address: 1275 WEST FOREVERGREEN ROAD
    NORTH LIBERTY, IA
    ZIP 52317
  • Facility Phone: 319 459-1964
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KALI STONE
  • NPI Number: 1295349207
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2123271
LAB Type Assisted Living Facility
Facility Name KEYSTONE NORTH LIBERTY, LLC
Street 1275 WEST FOREVERGREEN ROAD
City NORTH LIBERTY
State IA
ZIP 52317
Phone 319 459-1964
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Assisted Living Facility
Lab Director KALI STONE

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