16D2297090 CLIA NUMBER - PINNACLE PRAIRIE SENIOR LIVING, LLC

Laboratory Demographics

  • CLIA Code: 16D2297090
  • Facility Name: PINNACLE PRAIRIE SENIOR LIVING, LLC
  • Facility Address: 4900 PRAIRIE PARKWAY
    CEDAR FALLS, IA
    ZIP 50613
  • Facility Phone: 319 427-6658
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARK STAPLETON
  • NPI Number: 1578536983
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D2297090
LAB Type Assisted Living Facility
Facility Name PINNACLE PRAIRIE SENIOR LIVING, LLC
Street 4900 PRAIRIE PARKWAY
City CEDAR FALLS
State IA
ZIP 50613
Phone 319 427-6658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Assisted Living Facility
Lab Director MARK STAPLETON

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