16D2189727 CLIA NUMBER - CCRC OF AMES, LLC DBA MAGGIE'S PLACE AT NORTHRIDGE VILLAGE

Laboratory Demographics

  • CLIA Code: 16D2189727
  • Facility Name: CCRC OF AMES, LLC DBA MAGGIE'S PLACE AT NORTHRIDGE VILLAGE
  • Facility Address: 3301 STANGE ROAD
    AMES, IA
    ZIP 50010
  • Facility Phone: 515 232-1000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KAYLA ZELLMER
  • NPI Number: 1316322704
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2189727
LAB Type Assisted Living Facility
Facility Name CCRC OF AMES, LLC DBA MAGGIE'S PLACE AT NORTHRIDGE VILLAGE
Street 3301 STANGE ROAD
City AMES
State IA
ZIP 50010
Phone 515 232-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Assisted Living Facility
Lab Director KAYLA ZELLMER

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