CLIA lab

CLIA 16D0918864: Mill Creek Family Practice

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

CLIA number 16D0918864 belongs to Mill Creek Family Practice in Paullina, IA.

Certificate for Provider-Performed Microscopy Procedures, effective July 24, 2025, expires July 23, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 24, 2025
Certificate expiration
July 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 22, 1996
Facility type
Community clinic
Ownership (control type)
Government, city
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
16D0918864
Lab name
Mill Creek Family Practice
Address
5616 460th Street, Paullina, IA 51046
Phone
(712) 448-2000
Fax
(712) 448-2004

Annual test volume the lab reported

Waived tests
2,000
Provider-performed microscopy tests
2,000
Total
4,000

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 Mill Creek Family Practice in Paullina?

16D0918864, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mill Creek Family Practice hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 16D0918864 expire?

The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.

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