CLIA lab
CLIA 16D0383105: Pleasantville Clinic
Pleasantville, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D0383105 belongs to Pleasantville Clinic in Pleasantville, IA.
Certificate of Waiver, effective September 22, 2025, expires September 21, 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
- September 22, 2025
- Certificate expiration
- September 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 16D0383105
- Lab name
- Pleasantville Clinic
- Address
- 104 North Washington Street, PO Box 574, Pleasantville, IA 50225
- Phone
- (515) 848-3113
Annual test volume the lab reported
- Waived tests
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pleasantville, IA
Related
Questions
What is the CLIA number for Pleasantville Clinic in Pleasantville?
16D0383105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pleasantville Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D0383105 expire?
The CMS file lists September 21, 2027 as the certificate expiration date; the certificate took effect September 22, 2025.