16D0383703 CLIA NUMBER - MERCYONE DES MOINES PEDIATRIC CARE CLINIC

Laboratory Demographics

  • CLIA Code: 16D0383703
  • Facility Name: MERCYONE DES MOINES PEDIATRIC CARE CLINIC
  • Facility Address: 330 LAUREL STREET, SUITE 2100
    DES MOINES, IA
    ZIP 50314
  • Facility Phone: 515 643-8611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUSTAFA ELDADAH
  • NPI Number: 1407036262
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 16D0383703
LAB Type Physician Office
Facility Name MERCYONE DES MOINES PEDIATRIC CARE CLINIC
Street 330 LAUREL STREET, SUITE 2100
City DES MOINES
State IA
ZIP 50314
Phone 515 643-8611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director MUSTAFA ELDADAH

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