16D0383214 CLIA NUMBER - MERCYONE CLINIC LABORATORY-CLIVE

Laboratory Demographics

  • CLIA Code: 16D0383214
  • Facility Name: MERCYONE CLINIC LABORATORY-CLIVE
  • Facility Address: 1601 NW 114TH STREET STE 257
    CLIVE, IA
    ZIP 50325
  • Facility Phone: 515 222-7136
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AVINA KOLARETH
  • NPI Number: 1912187311
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0383214
LAB Type Physician Office
Facility Name MERCYONE CLINIC LABORATORY-CLIVE
Street 1601 NW 114TH STREET STE 257
City CLIVE
State IA
ZIP 50325
Phone 515 222-7136
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director AVINA KOLARETH

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