CLIA lab
CLIA 16D1052982: Country Manor Memory Care
Davenport, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D1052982 belongs to Country Manor Memory Care in Davenport, IA.
Certificate of Waiver, effective April 11, 2026, expires April 10, 2028.
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
- April 11, 2026
- Certificate expiration
- April 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2006
- Facility type
- Assisted living facility
- 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
- 16D1052982
- Lab name
- Country Manor Memory Care
- Address
- 900 West 46th Street, Davenport, IA 52806
- Phone
- (563) 391-1111
- Fax
- (563) 391-6267
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Accredited Dermatology Associates PCCertificate of Compliance, Physician office16D0388005
- Alltest, IncCertificate of Waiver, Other16D2001172
- Alpha Medequip LLCCertificate of Waiver, Independent16D2324379
- Amana CareCertificate of Waiver, Other16D2094641
- Aveanna HealthcareCertificate of Waiver, Home health agency16D1093190
- BHG LxxxviCertificate of Waiver, Other16D2303737
- Beacon of Hope HospiceCertificate of Waiver, Hospice16D2031182
- Bickford Cottage DavenportCertificate of Waiver, Other16D1050360
- Biolife Plasma Services LPCertificate of Compliance, Other16D2275113
- Bovenmyer DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office16D0388071
Related
Questions
What is the CLIA number for Country Manor Memory Care in Davenport?
16D1052982, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Manor Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D1052982 expire?
The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.