17D0451122 CLIA NUMBER - MERCY HOSPITAL

Laboratory Demographics

  • CLIA Code: 17D0451122
  • Facility Name: MERCY HOSPITAL
  • Facility Address: 218 E PACK
    MOUNDRIDGE, KS
    ZIP 67107
  • Facility Phone: 620 345-6391
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID A. MCKENZIE
  • NPI Number: 1083628911
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 17D0451122
LAB Type Hospital
Facility Name MERCY HOSPITAL
Street 218 E PACK
City MOUNDRIDGE
State KS
ZIP 67107
Phone 620 345-6391
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Hospital
Lab Director DAVID A. MCKENZIE

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This page was last updated on: 3/20/2025