16D0383974 CLIA NUMBER - MERCYONE FAMILY MEDICINE RESIDENCY

Laboratory Demographics

  • CLIA Code: 16D0383974
  • Facility Name: MERCYONE FAMILY MEDICINE RESIDENCY
  • Facility Address: 1010 4TH STREET SW, SUITE 240
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 428-7766
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK COURTNEY
  • NPI Number: 1730664566
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0383974
LAB Type Physician Office
Facility Name MERCYONE FAMILY MEDICINE RESIDENCY
Street 1010 4TH STREET SW, SUITE 240
City MASON CITY
State IA
ZIP 50401
Phone 641 428-7766
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director PATRICK COURTNEY

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