16D2281148 CLIA NUMBER - EDENCREST AT TIMBERLINE

Laboratory Demographics

  • CLIA Code: 16D2281148
  • Facility Name: EDENCREST AT TIMBERLINE
  • Facility Address: 14001 DOUGLAS PARKWAY
    URBANDALE, IA
    ZIP 50323
  • Facility Phone: 515 498-3629
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN CUNNINGHAM
  • NPI Number: 1326754680
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2281148
LAB Type Assisted Living Facility
Facility Name EDENCREST AT TIMBERLINE
Street 14001 DOUGLAS PARKWAY
City URBANDALE
State IA
ZIP 50323
Phone 515 498-3629
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Assisted Living Facility
Lab Director SUSAN CUNNINGHAM

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