CLIA lab
CLIA 16D2344580: Revitalized Wellness PLLC
Red Oak, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D2344580 belongs to Revitalized Wellness PLLC in Red Oak, IA.
Certificate of Waiver, effective May 26, 2026, expires May 25, 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 26, 2026
- Certificate expiration
- May 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 26, 2026
- Facility type
- Physician office
- 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
- 16D2344580
- Lab name
- Revitalized Wellness PLLC
- Address
- 1981 G Ave Ste 8, Red Oak, IA 51566
- Phone
- (712) 717-0300
- Fax
- (712) 217-1448
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.
Affiliated CLIA numbers
Other labs in Red Oak, IA
- Arlington Place of Red OakCertificate of Waiver, Assisted living facility16D1050697
- Good Samaritan Society - Red OakCertificate of Waiver, Skilled nursing or nursing facility16D0664059
- Hy-Vee Pharmacy #1544Certificate of Waiver, Pharmacy16D1023108
- Montgomery County Memorial HospitalCertificate of Compliance, Hospital16D0385918
- Montgomery County Memorial Hospital Women's HealthCertificate of Waiver, Physician office16D0935994
- Nisha Productions Inc Oak ST GRP HomeCertificate of Waiver, Other16D1071422
- Red Oak Fire DepartmentCertificate of Waiver, Ambulance16D2054239
- Red Oak Medical ClinicCertificate of Compliance, Physician office16D2284428
- Red Oak Rehab and Care CenterCertificate of Waiver, Skilled nursing or nursing facility16D0698785
- Wel-Home Health Red OakCertificate of Waiver, Home health agency16D0924486
Related
Questions
What is the CLIA number for Revitalized Wellness PLLC in Red Oak?
16D2344580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revitalized Wellness PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D2344580 expire?
The CMS file lists May 25, 2028 as the certificate expiration date; the certificate took effect May 26, 2026.