CLIA lab

CLIA 16D2217884: Ccrc of Grimes, LLC

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

CLIA number 16D2217884 belongs to Ccrc of Grimes, LLC in Grimes, IA.

Certificate of Waiver, effective March 24, 2025, expires March 23, 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
March 24, 2025
Certificate expiration
March 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 2021
Facility type
Assisted living facility
Ownership (control type)
Proprietary
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
16D2217884
Lab name
Ccrc of Grimes, LLC
Additional name
DBA Kennybrook Village
Address
200 SW Brookside Dr, Grimes, IA 50111
Phone
(515) 369-3900
Fax
(515) 369-3905

Annual test volume the lab reported

Waived tests
14,600

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

Affiliated CLIA numbers

Other labs in Grimes, IA

Related

Questions

What is the CLIA number for Ccrc of Grimes, LLC in Grimes?

16D2217884, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ccrc of Grimes, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 16D2217884 expire?

The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.

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