CLIA lab

CLIA 16D0726365: Northridge Family Medicine Clinic

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

CLIA number 16D0726365 belongs to Northridge Family Medicine Clinic in Hiawatha, IA.

Certificate of Waiver, effective January 12, 2025, expires January 11, 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
January 12, 2025
Certificate expiration
January 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 18, 1994
Facility type
Physician office
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
16D0726365
Lab name
Northridge Family Medicine Clinic
Address
400 S Blairsferry Crossing, Suite A, Hiawatha, IA 52233
Phone
(319) 393-0783
Fax
(319) 393-0427

Annual test volume the lab reported

Waived tests
600

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

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Related

Questions

What is the CLIA number for Northridge Family Medicine Clinic in Hiawatha?

16D0726365, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northridge Family Medicine Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D0726365 expire?

The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.

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