16D0931878 CLIA NUMBER - MASON CITY GROUP HOME

Laboratory Demographics

  • CLIA Code: 16D0931878
  • Facility Name: MASON CITY GROUP HOME
  • Facility Address: 695 SOUTH ILLINOIS
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 423-2663
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MELISSA MANN
  • NPI Number: 1235790155
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 16D0931878
LAB Type Other
Facility Name MASON CITY GROUP HOME
Street 695 SOUTH ILLINOIS
City MASON CITY
State IA
ZIP 50401
Phone 641 423-2663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Other
Lab Director MELISSA MANN

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