CLIA lab

CLIA 16D0382648: Eastern Star Masonic Home

Boone, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 16D0382648 belongs to Eastern Star Masonic Home in Boone, IA.

Certificate of Waiver, effective July 23, 2025, expires July 22, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 23, 2025
Certificate expiration
July 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
16D0382648
Lab name
Eastern Star Masonic Home
Address
715 West Third Street, Boone, IA 50036
Phone
(515) 432-5274
Fax
(515) 432-5276

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Eastern Star Masonic Home in Boone?

16D0382648, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eastern Star Masonic Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D0382648 expire?

The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.

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