16D1083659 CLIA NUMBER - MERCYONE NORTH IOWA DERMATOLOGY CARE

Laboratory Demographics

  • CLIA Code: 16D1083659
  • Facility Name: MERCYONE NORTH IOWA DERMATOLOGY CARE
  • Facility Address: 1421 4TH STREET SW
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 428-2080
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JADON WIESE
  • NPI Number: 1235793829
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D1083659
LAB Type Physician Office
Facility Name MERCYONE NORTH IOWA DERMATOLOGY CARE
Street 1421 4TH STREET SW
City MASON CITY
State IA
ZIP 50401
Phone 641 428-2080
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director JADON WIESE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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