CLIA lab

CLIA 16D2019290: Independence Village of Waukee MC

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

CLIA number 16D2019290 belongs to Independence Village of Waukee MC in Waukee, IA.

Certificate of Waiver, effective January 26, 2025, expires January 25, 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
January 26, 2025
Certificate expiration
January 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 26, 2011
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
16D2019290
Lab name
Independence Village of Waukee MC
Address
1505 SE Laurel Street, Waukee, IA 50263
Phone
(515) 412-3208

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.

Other labs in Waukee, IA

Related

Questions

What is the CLIA number for Independence Village of Waukee MC in Waukee?

16D2019290, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Independence Village of Waukee MC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D2019290 expire?

The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.

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