CLIA lab
CLIA 16D1054092: Copper Shores Village
Pleasant Hill, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D1054092 belongs to Copper Shores Village in Pleasant Hill, IA.
Certificate of Waiver, effective May 11, 2026, expires May 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
- May 11, 2026
- Certificate expiration
- May 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2006
- Facility type
- Assisted living facility
- Ownership (control type)
- Religious affiliation
- 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
- 16D1054092
- Lab name
- Copper Shores Village
- Address
- 1500 Edgewater Drive, Pleasant Hill, IA 50327
- Phone
- (515) 262-4444
- Fax
- (515) 262-3840
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pleasant Hill, IA
- Epiphany Dermatology of Iowa, PLCCertificate of Compliance, Physician office16D2319388
- Hy-Vee Pharmacy #1530Certificate of Waiver, Pharmacy16D0996677
- Medicap Pharmacy #8527Certificate of Waiver, Pharmacy16D0894440
- Mercyone Clinic Laboratory-Pleasant HillCertificate of Compliance, Physician office16D0383858
- Parkridge Specialty CareCertificate of Waiver, Skilled nursing or nursing facility16D0383862
- Pleasant Hill Rehab LLCCertificate of Waiver, Other16D2313972
- Pleasant Hill ResidentialCertificate of Waiver, Other16D0944676
- Simplevas PCCertificate for Provider-Performed Microscopy Procedures, Physician office16D2263211
- Story Point Pleasant HillCertificate of Waiver, Assisted living facility16D2312710
Related
Questions
What is the CLIA number for Copper Shores Village in Pleasant Hill?
16D1054092, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Copper Shores Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D1054092 expire?
The CMS file lists May 10, 2028 as the certificate expiration date; the certificate took effect May 11, 2026.