16D0917035 CLIA NUMBER - MERCYONE CLINTON MEDICAL CENTER HEALTH PLAZA

Laboratory Demographics

  • CLIA Code: 16D0917035
  • Facility Name: MERCYONE CLINTON MEDICAL CENTER HEALTH PLAZA
  • Facility Address: 600 14TH AVENUE NO
    CLINTON, IA
    ZIP 52732
  • Facility Phone: 563 244-5900
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MICHAEL N. MANKARIOUS
  • NPI Number: 1386832764
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0917035
LAB Type Independent
Facility Name MERCYONE CLINTON MEDICAL CENTER HEALTH PLAZA
Street 600 14TH AVENUE NO
City CLINTON
State IA
ZIP 52732
Phone 563 244-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Independent
Lab Director MICHAEL N. MANKARIOUS

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