16D0384052 CLIA NUMBER - MERCYONE CLEAR LAKE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 16D0384052
  • Facility Name: MERCYONE CLEAR LAKE FAMILY MEDICINE
  • Facility Address: 1410 SIXTH AVENUE SOUTH
    CLEAR LAKE, IA
    ZIP 50428
  • Facility Phone: 641 357-2191
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAYLOR T. MAY
  • NPI Number: 1790895654
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0384052
LAB Type Physician Office
Facility Name MERCYONE CLEAR LAKE FAMILY MEDICINE
Street 1410 SIXTH AVENUE SOUTH
City CLEAR LAKE
State IA
ZIP 50428
Phone 641 357-2191
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 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director TAYLOR T. MAY

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