16D0940303 CLIA NUMBER - MERCYCARE EDGEWOOD

Laboratory Demographics

  • CLIA Code: 16D0940303
  • Facility Name: MERCYCARE EDGEWOOD
  • Facility Address: 2815 EDGEWOOD RD SW
    CEDAR RAPIDS, IA
    ZIP 52404
  • Facility Phone: 319 221-8695
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLEEN KEATING
  • NPI Number: 1619422748
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0940303
LAB Type Physician Office
Facility Name MERCYCARE EDGEWOOD
Street 2815 EDGEWOOD RD SW
City CEDAR RAPIDS
State IA
ZIP 52404
Phone 319 221-8695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director COLLEEN KEATING

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