CLIA lab
CLIA 16D0710771: Iowa State Penitentiary
Fort Madison, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D0710771 belongs to Iowa State Penitentiary in Fort Madison, 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
- January 12, 1993
- Facility type
- Other
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 16D0710771
- Lab name
- Iowa State Penitentiary
- Address
- 2111 330th Avenue, PO Box 316, Fort Madison, IA 52627
- Phone
- (319) 372-5432
Annual test volume the lab reported
- Waived tests
- 558
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Madison, IA
- American EyecareCertificate of Waiver, Other practitioner16D1009524
- Ei Dupont-Fort MadisonCertificate of Waiver, Industrial16D2093741
- Family Medicine Southeast Iowa Regional MedicalCertificate of Waiver, Physician office16D2226525
- Forefront Dermatology, SCCertificate for Provider-Performed Microscopy Procedures, Physician office16D2168267
- Hy-Vee Pharmacy #1202Certificate of Waiver, Pharmacy16D1077850
- Internal Medicine - Southeast Iowa RegionalCertificate of Waiver, Physician office16D2226519
- Kensington,theCertificate of Waiver, Other16D1050792
- Lee County Health DepartmentCertificate of Waiver, Public health laboratory16D0387413
- Pediatrics- Southeast Iowa Regional Medical CenterCertificate of Waiver, Physician office16D2226494
- QV Urgent Care Ia PLLCCertificate of Waiver, Physician office16D2262855
Related
Questions
What is the CLIA number for Iowa State Penitentiary in Fort Madison?
16D0710771, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Iowa State Penitentiary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D0710771 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.