CLIA lab
CLIA 16D0705412: Evergreen Estates III Residential Care Center
Cedar Rapids, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D0705412 belongs to Evergreen Estates III Residential Care Center in Cedar Rapids, IA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 1993
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 16D0705412
- Lab name
- Evergreen Estates III Residential Care Center
- Address
- 2204 Johnson Avenue NW, Cedar Rapids, IA 52405
- Phone
- (319) 363-8116
- Fax
- (319) 363-8138
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Related
Questions
What is the CLIA number for Evergreen Estates III Residential Care Center in Cedar Rapids?
16D0705412, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Estates III Residential Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D0705412 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.