CLIA lab
CLIA 16D1034976: Prairie Creek Assisted Living
West Bend, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D1034976 belongs to Prairie Creek Assisted Living in West Bend, IA.
Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.
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
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 2004
- Facility type
- Other
- 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
- 16D1034976
- Lab name
- Prairie Creek Assisted Living
- Address
- 304 4th St NW, West Bend, IA 50597
- Phone
- (515) 887-4071
- Fax
- (515) 887-3973
Annual test volume the lab reported
- Waived tests
- 52
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 Prairie Creek Assisted Living in West Bend?
16D1034976, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Creek Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D1034976 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.