16D0386671 CLIA NUMBER - MERCYCARE MONTICELLO

Laboratory Demographics

CLIA Number: 16D0386671

Facility Name: MERCYCARE MONTICELLO

Facility Address:
225 WELTER DR
MONTICELLO, IA
ZIP 52310
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Facility Phone Number: 319 465-5937

Facility Type: Rural Health Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1700955317

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D0386671
LAB Type	Rural Health Clinic
Facility Name	MERCYCARE MONTICELLO
Street	225 WELTER DR
City	MONTICELLO
State	IA
ZIP	52310
Phone	319 465-5937
CertificateType	2
CertificateEffectiveDate	6/12/2022
CertificateExpirationDate	6/11/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024