CLIA lab

CLIA 16D1073511: Lakeside Village,the

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

CLIA number 16D1073511 belongs to Lakeside Village,the in Panora, IA.

Certificate of Waiver, effective September 11, 2025, expires September 10, 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
September 11, 2025
Certificate expiration
September 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2007
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
16D1073511
Lab name
Lakeside Village,the
Address
2067 Highway 4, Panora, IA 50216
Phone
(641) 755-3443
Fax
(515) 963-5089

Annual test volume the lab reported

Waived tests
2,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Panora, IA

Related

Questions

What is the CLIA number for Lakeside Village,the in Panora?

16D1073511, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lakeside Village,the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D1073511 expire?

The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.

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