16D0382665 CLIA NUMBER - MERCYONE CARLISLE FAMILY MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 16D0382665
  • Facility Name: MERCYONE CARLISLE FAMILY MEDICINE CLINIC
  • Facility Address: 2755 SOUTH GATEWAY DRIVE
    CARLISLE, IA
    ZIP 50047
  • Facility Phone: 515 358-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOELLEN M. HELMS
  • NPI Number: 1295070118
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0382665
LAB Type Physician Office
Facility Name MERCYONE CARLISLE FAMILY MEDICINE CLINIC
Street 2755 SOUTH GATEWAY DRIVE
City CARLISLE
State IA
ZIP 50047
Phone 515 358-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director JOELLEN M. HELMS

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This page was last updated on: 9/29/2025