CLIA lab
CLIA 16D0912905: Sully Family Health Center
Sully, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D0912905 belongs to Sully Family Health Center in Sully, IA.
Certificate of Waiver, effective August 13, 2025, expires August 12, 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
- August 13, 2025
- Certificate expiration
- August 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 1996
- Facility type
- Rural health clinic
- 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
- 16D0912905
- Lab name
- Sully Family Health Center
- Address
- 704 Third Street, Sully, IA 50251
- Phone
- (641) 594-3150
- Fax
- (641) 594-3795
Annual test volume the lab reported
- Waived tests
- 1,100
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 Sully Family Health Center in Sully?
16D0912905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sully Family Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D0912905 expire?
The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.