CLIA lab

CLIA 16D0872023: Camp Hertko Hollow

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

CLIA number 16D0872023 belongs to Camp Hertko Hollow in Des Moines, IA.

Certificate of Waiver, effective June 9, 2025, expires June 8, 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
June 9, 2025
Certificate expiration
June 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 9, 1993
Facility type
Other
Ownership (control type)
Other
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
16D0872023
Lab name
Camp Hertko Hollow
Address
505 E Grand Suite 200, Des Moines, IA 50309
Phone
(515) 401-4785
Fax
(515) 288-2531

Annual test volume the lab reported

Waived tests
20,000

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 Camp Hertko Hollow in Des Moines?

16D0872023, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Camp Hertko Hollow hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D0872023 expire?

The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.

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