CLIA lab
CLIA 16D2290684: Revitalize U Med Spa and Salon
North Liberty, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2290684 belongs to Revitalize U Med Spa and Salon in North Liberty, IA.
Certificate of Waiver, effective September 28, 2025, expires September 27, 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 28, 2025
- Certificate expiration
- September 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 2023
- Facility type
- Ambulatory surgery center
- 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
- 16D2290684
- Lab name
- Revitalize U Med Spa and Salon
- Address
- 1750 Jordan St, North Liberty, IA 52317
- Phone
- (319) 569-6444
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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- Mercycare North LibertyCertificate of Waiver, Physician office16D1061448
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Related
Questions
What is the CLIA number for Revitalize U Med Spa and Salon in North Liberty?
16D2290684, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revitalize U Med Spa and Salon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2290684 expire?
The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.