CLIA lab
CLIA 16D0384603: Sumner Community Club
Fredericksburg, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D0384603 belongs to Sumner Community Club in Fredericksburg, IA.
Certificate for Provider-Performed Microscopy Procedures, effective February 24, 2025, expires February 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 24, 2025
- Certificate expiration
- February 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 16D0384603
- Lab name
- Sumner Community Club
- Additional name
- DBA Fredericksburg Medical Clinic
- Address
- 115 Schult Ridge Road, Fredericksburg, IA 50630
- Phone
- (563) 578-3275
- Fax
- (563) 578-2154
Annual test volume the lab reported
- Waived tests
- 3,300
- Provider-performed microscopy tests
- 10
- Total
- 3,310
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fredericksburg, IA
Related
Questions
What is the CLIA number for Sumner Community Club in Fredericksburg?
16D0384603, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sumner Community Club hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 16D0384603 expire?
The CMS file lists February 23, 2027 as the certificate expiration date; the certificate took effect February 24, 2025.