CLIA lab
CLIA 16D2200558: Prairie View Inn
Sanborn, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2200558 belongs to Prairie View Inn in Sanborn, IA.
Certificate of Waiver, effective November 16, 2024, expires November 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
- November 16, 2024
- Certificate expiration
- November 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 16D2200558
- Lab name
- Prairie View Inn
- Address
- 612 N Eastern St, Sanborn, IA 51248
- Phone
- (712) 930-3636
- Fax
- (712) 930-3637
Annual test volume the lab reported
- Waived tests
- 30
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 Prairie View Inn in Sanborn?
16D2200558, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie View Inn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2200558 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.