16D1088149 CLIA NUMBER - MERCYONE NORTH IOWA WEST CAMPUS LABORATORY

Laboratory Demographics

  • CLIA Code: 16D1088149
  • Facility Name: MERCYONE NORTH IOWA WEST CAMPUS LABORATORY
  • Facility Address: 910 N EISENHOWER AVENUE
    MASON CITY, IA
    ZIP 50401
  • Facility Phone: 641 428-7542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA CHAMBERS
  • NPI Number: 1003082736
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D1088149
LAB Type Physician Office
Facility Name MERCYONE NORTH IOWA WEST CAMPUS LABORATORY
Street 910 N EISENHOWER AVENUE
City MASON CITY
State IA
ZIP 50401
Phone 641 428-7542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director JESSICA CHAMBERS

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