16D2142417 CLIA NUMBER - CREEKSIDE INC

Laboratory Demographics

  • CLIA Code: 16D2142417
  • Facility Name: CREEKSIDE INC
  • Facility Address: 503 WICAL WAY
    GRUNDY CENTER, IA
    ZIP 50638
  • Facility Phone: 319 824-3212
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT KRAMER
  • NPI Number: 1225546948
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2142417
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CREEKSIDE INC
Street 503 WICAL WAY
City GRUNDY CENTER
State IA
ZIP 50638
Phone 319 824-3212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTT KRAMER

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