CLIA lab
CLIA 16D2123271: Keystone North Liberty, LLC
North Liberty, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2123271 belongs to Keystone North Liberty, LLC in North Liberty, IA.
Certificate of Waiver, effective December 16, 2024, expires December 15, 2026.
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
- December 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2016
- 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
- 16D2123271
- Lab name
- Keystone North Liberty, LLC
- Address
- 1275 West Forevergreen Road, North Liberty, IA 52317
- Phone
- (319) 459-1964
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Mercycare North LibertyCertificate of Waiver, Physician office16D1061448
- North Liberty Fire DepartmentCertificate of Waiver, Ambulance16D1035712
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- Revitalize U Med Spa and SalonCertificate of Waiver, Ambulatory surgery center16D2290684
- Sagent Behavioral HealthCertificate of Waiver, Comprehensive outpatient rehab facility16D2344666
Related
Questions
What is the CLIA number for Keystone North Liberty, LLC in North Liberty?
16D2123271, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keystone North Liberty, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2123271 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.