16D2173514 CLIA NUMBER - COUNTRYHOUSE CEDAR RAPIDS

Laboratory Demographics

  • CLIA Code: 16D2173514
  • Facility Name: COUNTRYHOUSE CEDAR RAPIDS
  • Facility Address: 5710 GIBSON DRIVE NE
    CEDAR RAPIDS, IA
    ZIP 52411
  • Facility Phone: 319 826-1094
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ABBY BRUCE
  • NPI Number: 1235739582
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2173514
LAB Type Assisted Living Facility
Facility Name COUNTRYHOUSE CEDAR RAPIDS
Street 5710 GIBSON DRIVE NE
City CEDAR RAPIDS
State IA
ZIP 52411
Phone 319 826-1094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Assisted Living Facility
Lab Director ABBY BRUCE

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