CLIA lab

CLIA 16D1100808: Black Hawk Dialysis

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

CLIA number 16D1100808 belongs to Black Hawk Dialysis in Waterloo, IA.

Certificate of Waiver, effective June 12, 2025, expires June 11, 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
June 12, 2025
Certificate expiration
June 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 12, 2009
Facility type
End stage renal disease dialysis 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
16D1100808
Lab name
Black Hawk Dialysis
Address
3421 W 9th Street, Waterloo, IA 50702
Phone
(319) 272-8700
Fax
(319) 272-8695

Annual test volume the lab reported

Waived tests
19,344

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

Care facility at this address

Other labs in Waterloo, IA

Related

Questions

What is the CLIA number for Black Hawk Dialysis in Waterloo?

16D1100808, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Black Hawk Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D1100808 expire?

The CMS file lists June 11, 2027 as the certificate expiration date; the certificate took effect June 12, 2025.

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