16D2179765 CLIA NUMBER - USRC EASTERN IOWA, LLC DBA MERCY DIALYSIS- PLAZA

Laboratory Demographics

  • CLIA Code: 16D2179765
  • Facility Name: USRC EASTERN IOWA, LLC DBA MERCY DIALYSIS- PLAZA
  • Facility Address: 5264 COUNCIL STREET NE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 398-6423
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FADI Y. YACOUB
  • NPI Number: 1104450972
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2179765
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC EASTERN IOWA, LLC DBA MERCY DIALYSIS- PLAZA
Street 5264 COUNCIL STREET NE
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 398-6423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FADI Y. YACOUB

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