16D0950432 CLIA NUMBER - MERCYONE KIMBALL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 16D0950432
  • Facility Name: MERCYONE KIMBALL FAMILY MEDICINE
  • Facility Address: 2055 KIMBALL AVENUE, SUITE 400
    WATERLOO, IA
    ZIP 50702
  • Facility Phone: 319 272-1345
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MELISSA MUCH
  • NPI Number: 1922045632
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D0950432
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MERCYONE KIMBALL FAMILY MEDICINE
Street 2055 KIMBALL AVENUE, SUITE 400
City WATERLOO
State IA
ZIP 50702
Phone 319 272-1345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2023
Certificate Expiration Date 6/30/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MELISSA MUCH

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This page was last updated on: 6/4/2025