16D2171007 CLIA NUMBER - RIVERVIEW TERRACE

Laboratory Demographics

  • CLIA Code: 16D2171007
  • Facility Name: RIVERVIEW TERRACE
  • Facility Address: 1501 ST LUKE DRIVE
    SPENCER, IA
    ZIP 51301
  • Facility Phone: 712 262-5932
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KERRI KOFOOT

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CLIA Record

Field Name Field Value
CLIA Number 16D2171007
LAB Type Assisted Living Facility
Facility Name RIVERVIEW TERRACE
Street 1501 ST LUKE DRIVE
City SPENCER
State IA
ZIP 51301
Phone 712 262-5932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2023
Certificate Expiration Date 8/22/2025
Facility Type Assisted Living Facility
Lab Director KERRI KOFOOT

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This page was last updated on: 3/20/2025