16D2158805 CLIA NUMBER - MERCYONE WATERLOO PHARMACY

Laboratory Demographics

  • CLIA Code: 16D2158805
  • Facility Name: MERCYONE WATERLOO PHARMACY
  • Facility Address: 2710 ST FRANCIS DRIVE, SUITE 101
    WATERLOO, IA
    ZIP 50702
  • Facility Phone: 319 272-5700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL E. STEGALL
  • NPI Number: 1497796494
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 16D2158805
LAB Type Pharmacy
Facility Name MERCYONE WATERLOO PHARMACY
Street 2710 ST FRANCIS DRIVE, SUITE 101
City WATERLOO
State IA
ZIP 50702
Phone 319 272-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director JILL E. STEGALL

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