16D0676807 CLIA NUMBER - MERCYONE EAST VILLAGE CLINICS

Laboratory Demographics

  • CLIA Code: 16D0676807
  • Facility Name: MERCYONE EAST VILLAGE CLINICS
  • Facility Address: 1350 DES MOINES STREET STE 100-110
    DES MOINES, IA
    ZIP 50309
  • Facility Phone: 515 643-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHYO S. YIN
  • NPI Number: 1720268121
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0676807
LAB Type Physician Office
Facility Name MERCYONE EAST VILLAGE CLINICS
Street 1350 DES MOINES STREET STE 100-110
City DES MOINES
State IA
ZIP 50309
Phone 515 643-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director PHYO S. YIN

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