CLIA lab
CLIA 16D2072497: KC Co of Ida Grove
Ida Grove, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2072497 belongs to KC Co of Ida Grove in Ida Grove, IA.
Certificate of Waiver, effective January 31, 2026, expires January 30, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 31, 2026
- Certificate expiration
- January 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 31, 2014
- 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
- 16D2072497
- Lab name
- KC Co of Ida Grove
- Additional name
- DBA Golden Horizons Assisted Living
- Address
- 800 Byron Godbersen Drive, Ida Grove, IA 51445
- Phone
- (712) 364-4128
- Fax
- (712) 364-2002
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ida Grove, IA
Related
Questions
What is the CLIA number for KC Co of Ida Grove in Ida Grove?
16D2072497, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does KC Co of Ida Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2072497 expire?
The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.