16D2192746 CLIA NUMBER - OAKNOLL RETIREMENT RESIDENCE - ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 16D2192746
  • Facility Name: OAKNOLL RETIREMENT RESIDENCE - ASSISTED LIVING
  • Facility Address: 1 OAKNOLL COURT
    IOWA CITY, IA
    ZIP 52246
  • Facility Phone: 319 466-3014
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. BERGEN-JACKSON
  • NPI Number: 1871523027
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2192746
LAB Type Assisted Living Facility
Facility Name OAKNOLL RETIREMENT RESIDENCE - ASSISTED LIVING
Street 1 OAKNOLL COURT
City IOWA CITY
State IA
ZIP 52246
Phone 319 466-3014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY M. BERGEN-JACKSON

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