CLIA lab
CLIA 16D2172732: Blackhawk Pharmacy,inc DBA Evans Crossing Pharmacy
Evansdale, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2172732 belongs to Blackhawk Pharmacy,inc DBA Evans Crossing Pharmacy in Evansdale, IA.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2019
- 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
- 16D2172732
- Lab name
- Blackhawk Pharmacy,inc DBA Evans Crossing Pharmacy
- Address
- 3506 Lafayette Rd, Evansdale, IA 50707
- Phone
- (319) 233-3359
- Fax
- (319) 233-3099
Annual test volume the lab reported
- Waived tests
- 50
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 Blackhawk Pharmacy,inc DBA Evans Crossing Pharmacy in Evansdale?
16D2172732, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blackhawk Pharmacy,inc DBA Evans Crossing Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2172732 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.