Top 10 Sewage Cleanup & Biohazard Companies in Iowa (2026)

Published: May 30, 20262026657 words3 min read

Key Takeaways

10 sewage & biohazard firms in Iowa qualified for this ranking based on verified data from public sources (BBB, Google, IICRC, EPA, Yelp, Angi, HomeAdvisor).
The top firm in this ranking is Crew Restoration & Construction Inc., with a MetaScore of 94/100.
Every firm here carries at least one publicly verifiable signal — no firm appears in this article without a cited source.
This list is filtered to firms that explicitly offer sewage & biohazard services. Multi-discipline firms appearing here have that service confirmed on their website or in their public certifications.
Methodology is published in full at restorationindex.com/methodology. Firms can request a correction at restorationindex.com/contact.

Sources cited in this article: Better Business Bureau, Institute of Inspection, Cleaning and Restoration Certification, U.S. Environmental Protection Agency, Google, Yelp, Angi, HomeAdvisor, and Restoration Index.

Based on aggregated public-source data from BBB Business Profiles, Google Business Profile reviews, IICRC certified member directory, EPA Lead-Safe registry, Yelp, Angi Super Service Award lists, and HomeAdvisor recognition, here are the top-ranked sewage & biohazard firms in Iowa. Each firm receives a 0-100 Restoration Index MetaScore weighted across 9 sources.

Top 10 Sewage Cleanup & Biohazard Companies in Iowa — Ranked by Multi-Source MetaScore

Crew Restoration & Construction Inc. (Sioux City, IA) — MetaScore 94/100. 4.9-star Google rating across 161 reviews. BBB A+ accredited. founded 1987. Read the full review.
ServiceMaster of Sooland (Sioux City, IA) — MetaScore 93/100. 4.7-star Google rating across 235 reviews. BBB A+ accredited. founded 1968. Read the full review.
Louie’s Cleaning & Disaster Restoration (Sioux City, IA) — MetaScore 86/100. 4.8-star Google rating across 154 reviews. BBB A+ accredited. founded 1966. Read the full review.
SERVPRO of Iowa City/Coralville (Iowa City, IA) — MetaScore 84/100. 4.5-star Google rating across 140 reviews. BBB A+. founded 2009. Read the full review.
Restoration 1 of Eastern Iowa (Cedar Rapids, IA) — MetaScore 83/100. 4.8-star Google rating across 153 reviews. BBB A+ accredited. IICRC certified. founded 2019. Read the full review.
PuroClean Disaster Recovery (Davenport, IA) — MetaScore 83/100. 4.8-star Google rating across 65 reviews. BBB A+ accredited. IICRC certified. founded 2009. Read the full review.
Americlean (Cedar Rapids, IA) — MetaScore 82/100. 4.8-star Google rating across 246 reviews. BBB A+ accredited. founded 1988. Read the full review.
Firstcall Restoration (Cedar Rapids, IA) — MetaScore 81/100. 4.7-star Google rating across 42 reviews. BBB A+ accredited. IICRC certified. founded 1989. Read the full review.
SERVPRO of Cedar Rapids (Cedar Rapids, IA) — MetaScore 80/100. 4.6-star Google rating across 216 reviews. IICRC certified. SERVPRO-Founder's Gold, SERVPRO-Founders Silver. Read the full review.
ServiceMaster by Blaze (Davenport, IA) — MetaScore 79/100. 4.6-star Google rating across 54 reviews. BBB A+ accredited. founded 2017. Read the full review.

Top sewage & biohazard firms in Cedar Rapids

Restoration 1 of Eastern Iowa leads Cedar Rapids with a MetaScore of 83/100 and 153 Google reviews. Other top-ranked firms in Cedar Rapids include Americlean (MetaScore 82/100), Firstcall Restoration (MetaScore 81/100), and SERVPRO of Cedar Rapids (MetaScore 80/100).

Top sewage & biohazard firms in Sioux City

Crew Restoration & Construction Inc. leads Sioux City with a MetaScore of 94/100 and 161 Google reviews. Other top-ranked firms in Sioux City include ServiceMaster of Sooland (MetaScore 93/100), and Louie’s Cleaning & Disaster Restoration (MetaScore 86/100).

Top sewage & biohazard firms in Davenport

PuroClean Disaster Recovery leads Davenport with a MetaScore of 83/100 and 65 Google reviews. Other top-ranked firms in Davenport include ServiceMaster by Blaze (MetaScore 79/100).

Frequently Asked Questions

How is the Restoration Index MetaScore calculated?

The MetaScore is a weighted average of nine normalized component scores: Google Business Profile reviews (25%), BBB rating + complaint history (20%), IICRC certification (12%), EPA Lead-Safe registry (8%), years in business (10%), Yelp reviews (10%), Angi Super Service Award (5%), HomeAdvisor Top Rated (5%), and regional industry awards (5%). Firms with sparse data have weights redistributed proportionally across the sources we did find. Full methodology at restorationindex.com/methodology.

Who is the top-ranked sewage cleanup & biohazard company in Iowa?

As of May 2026, Crew Restoration & Construction Inc. ranks #1 in Iowa for sewage cleanup & biohazard with a MetaScore of 94/100. The full ranking and per-firm breakdowns appear below.

How often is this list updated?

Firm-level data (reviews, BBB ratings, certifications) is refreshed every 30 to 90 days depending on the source. Awards and recognition fields refresh annually. The "Last refreshed" date below the article header reflects the most recent data refresh for this article.

Can firms pay to be included or ranked higher?

No. Restoration Index does not accept paid placement. The MetaScore is calculated identically for every firm in the index, whether or not they have any commercial relationship with Pleiades Consultancy (the publisher of this site). The methodology is published in full so firms can audit how the calculation works.

What if a firm I trust is missing from this list?

Coverage is rolling out city by city. If a firm meets our inclusion criteria (operating in the named region, offering sewage cleanup & biohazard services, with at least one verifiable public signal), they will appear in future refreshes. Firms can also reach out via restorationindex.com/contact to request inclusion.

Sources & Further Reading

Every claim in this article is backed by at least one of the following third-party sources. Linked out to the publisher so you can audit the original.