16D0682493 CLIA NUMBER - MERCY CARE JOHNSON AVENUE

Laboratory Demographics

  • CLIA Code: 16D0682493
  • Facility Name: MERCY CARE JOHNSON AVENUE
  • Facility Address: 75 SHORT STREET NW
    CEDAR RAPIDS, IA
    ZIP 52405
  • Facility Phone: 319 396-6313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN BROWNELL
  • NPI Number: 1366648891
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0682493
LAB Type Physician Office
Facility Name MERCY CARE JOHNSON AVENUE
Street 75 SHORT STREET NW
City CEDAR RAPIDS
State IA
ZIP 52405
Phone 319 396-6313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director JOHN BROWNELL

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