16D2305489 CLIA NUMBER - EDENCREST AT KETTLESTONE

Laboratory Demographics

  • CLIA Code: 16D2305489
  • Facility Name: EDENCREST AT KETTLESTONE
  • Facility Address: 805 SE TALLGRASS LN
    WAUKEE, IA
    ZIP 50263
  • Facility Phone: 515 499-4922
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOY K. LAUDICK
  • NPI Number: 1215822366
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D2305489
LAB Type Assisted Living Facility
Facility Name EDENCREST AT KETTLESTONE
Street 805 SE TALLGRASS LN
City WAUKEE
State IA
ZIP 50263
Phone 515 499-4922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Assisted Living Facility
Lab Director JOY K. LAUDICK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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