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FRIENDSHIP VILLAGE INC.
NPI 1164089157
Assisted Living Facility in Waterloo, IA

Active since May 24, 2019CLIA 16D0702664 · Waiver
312 SOUTHBROOKE DR, WATERLOO, IA 50702(319) 291-3500 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Friendship Village Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRIENDSHIP VILLAGE INC. (NPI 1164089157) is a healthcare organization registered as an assisted living facility in Waterloo, Iowa and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sherry Turner, Vp Health Care Services, as its authorized official.

NPPES Registry Identity

NPI1164089157
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFRIENDSHIP VILLAGE INC.
Location Address312 SOUTHBROOKE DRWaterloo, IA 50702-5804
Mailing Address600 Park LnWaterloo, IA 50702-5200 · (319) 291-8100 · Fax (319) 291-8324
Phone(319) 291-3500
Organization SubpartNo
Authorized OfficialSherry TurnerVp Health Care Services · (319) 291-8100
Enumeration DateMay 24, 2019
✔ NPI 1164089157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
312 SOUTHBROOKE DR, Waterloo, IA 50702
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Other Names 1

Other NameLakeview Lodge

Other Identifiers 1

Medicaid1639348873IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0702664

Friendship Village · Waterloo, IA
Active · expires Aug 31, 2026
CLIA Number16D0702664
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKristen Lyons
Laboratory Phone(319) 291-8250
Laboratory LocationFriendship Village600 Park Lane, Waterloo, IA 50702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Friendship Village Inc.'s NPI number?

The NPI number for Friendship Village Inc. is 1164089157. It was assigned to this organization in the NPPES registry on May 24, 2019. The provider is also known as Lakeview Lodge.

Where is Friendship Village Inc. located?

Friendship Village Inc. is located at 312 Southbrooke Dr, Waterloo, IA 50702. The listed phone number is (319) 291-3500.

What is Friendship Village Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Friendship Village Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0702664) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Friendship Village Inc. was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.