CLIA lab
CLIA 16D2305489: Edencrest at Kettlestone
Waukee, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2305489 belongs to Edencrest at Kettlestone in Waukee, IA.
Certificate of Waiver, effective May 31, 2026, expires May 30, 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
- May 31, 2026
- Certificate expiration
- May 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 31, 2024
- Facility type
- Assisted living facility
- 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
- 16D2305489
- Lab name
- Edencrest at Kettlestone
- Address
- 805 SE Tallgrass Ln, Waukee, IA 50263
- Phone
- (515) 499-4922
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Waukee, IA
- Hy-Vee Pharmacy #1873Certificate of Waiver, Pharmacy16D2063527
- Independence Village of Waukee AlCertificate of Waiver, Assisted living facility16D1065181
- Independence Village of Waukee MCCertificate of Waiver, Assisted living facility16D2019290
- Innovative Wellness CenterCertificate of Waiver, Other16D2344948
- Iowa Diagnostic Imaging and Procedure CenterCertificate of Waiver, Other16D2304506
- Iowa OrthoCertificate of Waiver, Physician office16D2345877
- Medicap Pharmacy #8256Certificate of Waiver, Pharmacy16D0975636
- Mercyone Waukee Family Medicine ClinicCertificate of Waiver, Physician office16D2008793
- Mercyone Waukee Pediatrics CareCertificate of Waiver, Physician office16D2296569
- The Iowa Clinic - Waukee NorthCertificate for Provider-Performed Microscopy Procedures, Physician office16D2158395
Related
Questions
What is the CLIA number for Edencrest at Kettlestone in Waukee?
16D2305489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edencrest at Kettlestone hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2305489 expire?
The CMS file lists May 30, 2028 as the certificate expiration date; the certificate took effect May 31, 2026.