16D2167041 CLIA NUMBER - FIELDSTONE OF DEWITT

Laboratory Demographics

  • CLIA Code: 16D2167041
  • Facility Name: FIELDSTONE OF DEWITT
  • Facility Address: 1301 MAYNARD WAY
    DEWITT, IA
    ZIP 52742
  • Facility Phone: 563 659-4212
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHELSEY KILLEAN
  • NPI Number: 1891204822
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2167041
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FIELDSTONE OF DEWITT
Street 1301 MAYNARD WAY
City DEWITT
State IA
ZIP 52742
Phone 563 659-4212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHELSEY KILLEAN

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