16D2198840 CLIA NUMBER - PREMIER ESTATES ROCK RAPIDS ALF

Laboratory Demographics

  • CLIA Code: 16D2198840
  • Facility Name: PREMIER ESTATES ROCK RAPIDS ALF
  • Facility Address: 1510 S CARROLL AVENUE
    ROCK RAPIDS, IA
    ZIP 51246
  • Facility Phone: 712 472-4100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BROOKE MANITZ
  • NPI Number: 1033172663
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2198840
LAB Type Assisted Living Facility
Facility Name PREMIER ESTATES ROCK RAPIDS ALF
Street 1510 S CARROLL AVENUE
City ROCK RAPIDS
State IA
ZIP 51246
Phone 712 472-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Assisted Living Facility
Lab Director BROOKE MANITZ

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