16D0387688 CLIA NUMBER - MERCYONE GHG DURANT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 16D0387688
  • Facility Name: MERCYONE GHG DURANT FAMILY PRACTICE
  • Facility Address: 619 FIFTH STREET
    DURANT, IA
    ZIP 52747
  • Facility Phone: 563 785-4487
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY JOHNSON
  • NPI Number: 1295841047
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0387688
LAB Type Physician Office
Facility Name MERCYONE GHG DURANT FAMILY PRACTICE
Street 619 FIFTH STREET
City DURANT
State IA
ZIP 52747
Phone 563 785-4487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director EMILY JOHNSON

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