16D0669980 CLIA NUMBER - MERCYONE CLIVE PEDIATRICS CARE CLINIC

Laboratory Demographics

  • CLIA Code: 16D0669980
  • Facility Name: MERCYONE CLIVE PEDIATRICS CARE CLINIC
  • Facility Address: 1601 NW 114TH STREET, SUITE 345
    DES MOINES, IA
    ZIP 50325
  • Facility Phone: 515 222-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH JACKSON
  • NPI Number: 1225462260
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0669980
LAB Type Physician Office
Facility Name MERCYONE CLIVE PEDIATRICS CARE CLINIC
Street 1601 NW 114TH STREET, SUITE 345
City DES MOINES
State IA
ZIP 50325
Phone 515 222-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director SARAH JACKSON

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