Iowa CNA Certification Requirements
Complete guide to becoming a Certified Nursing Assistant in Iowa
Official source: licensing in Iowa is administered by the Iowa Department of Inspections, Appeals and Licensing / Direct Care Worker Registry. This guide summarizes the board's requirements — always confirm details there before applying. Already licensed? Look up a nursing license in Iowa.
Apply on Official Site1 Training Program Requirements
Program Requirements
Complete a state-approved nurse aide training program
Additional Requirements
- Iowa requires 75 hours minimum training (federal minimum)
- Must include classroom and clinical training
- Program must be approved by Iowa Department of Inspections and Appeals
2 Competency Examination
Exam Name
Iowa Direct Care Worker Competency Exam
Test Provider
Prometric
Exam Components
Written/Oral Test
Multiple choice questions on nursing assistant knowledge and skills
Skills Demonstration
Perform 3-5 randomly selected nursing skills in front of an evaluator
Exam Fee
$105
Tip: You must pass both the written (or oral) and skills portions of the exam to be certified. Most states allow multiple retake attempts if needed.
3 Background Check
CNAs work with vulnerable populations, so background checks are required in all states. Cost is typically $50.
4 Fees
Initial Certification
| Training Program | $500-$2,000* |
| Competency Exam | $105 |
| Background Check | $50 |
| Application/Registry Fee | $0 |
*Many employers offer free CNA training programs with work commitment
Renewal
| Renewal Fee (every 2 years) | $Varies |
| Work Requirement | 8 hours in 24 months |
Certification Renewal
To maintain your CNA certification, you must renew every 2 years and typically demonstrate that you've worked as a CNA during that period.
Career Advancement
CNAs can advance to LPN/LVN or RN with additional education
Iowa CNA Certification FAQs
How much does CNA certification cost in Iowa?
Expect about $155 in total initial CNA certification costs in Iowa, including a $105 examination fee. Fees can change, so confirm current amounts with the Iowa Department of Inspections, Appeals and Licensing / Direct Care Worker Registry.
How do CNAs keep their certification active in Iowa?
Iowa CNAs must work at least 8 paid hours of nursing-related duties during each 2-year renewal period to stay on the state registry.
How long does it take to get CNA certification in Iowa?
Most complete applications are processed in about 4 to 8 weeks, though background checks and application volume can extend the timeline.
Who issues CNA certifications in Iowa?
The Iowa Department of Inspections, Appeals and Licensing / Direct Care Worker Registry handles CNA certification applications, renewals, and verifications. You can reach the board at (515) 281-4115.
Nurse Aide Registry
Free Tools
Other License Types in Iowa
Clinically reviewed by Clinical Review Team
Based on 3 official sources • Last verified: June 2026