CLIA lab

CLIA 16D2193701: PHS Walnut Ridge LLC Assisted Living

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

CLIA number 16D2193701 belongs to PHS Walnut Ridge LLC Assisted Living in Clive, IA.

Certificate of Waiver, effective September 24, 2026, expires September 23, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2020
Facility type
Assisted living facility
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
16D2193701
Lab name
PHS Walnut Ridge LLC Assisted Living
Address
1701 Campus Drive, Clive, IA 50325
Phone
(515) 457-1111
Fax
(515) 221-4393

Annual test volume the lab reported

Waived tests
1,500

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

Affiliated CLIA numbers

Other labs in Clive, IA

Related

Questions

What is the CLIA number for PHS Walnut Ridge LLC Assisted Living in Clive?

16D2193701, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does PHS Walnut Ridge LLC Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D2193701 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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