CLIA lab
CLIA 16D1084120: Medicap Pharmacy GRX Holdings LLC
Indianola, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D1084120 belongs to Medicap Pharmacy GRX Holdings LLC in Indianola, IA.
Certificate of Waiver, effective May 16, 2026, expires May 15, 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 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 16, 2008
- Facility type
- Pharmacy
- 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
- 16D1084120
- Lab name
- Medicap Pharmacy GRX Holdings LLC
- Address
- 2105 N 3rd Lane, Indianola, IA 50125
- Phone
- (515) 961-5303
- Fax
- (515) 961-5964
Annual test volume the lab reported
- Waived tests
- 20
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 Medicap Pharmacy GRX Holdings LLC in Indianola?
16D1084120, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medicap Pharmacy GRX Holdings LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D1084120 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.