52D0881424 CLIA NUMBER - MERCY ASSISTED CARE DBA MERCYHEALTH AT HOME

Laboratory Demographics

  • CLIA Code: 52D0881424
  • Facility Name: MERCY ASSISTED CARE DBA MERCYHEALTH AT HOME
  • Facility Address: 901 MINERAL POINT AVE
    JANESVILLE, WI
    ZIP 53548
  • Facility Phone: 608 756-8237
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRANDON COOLEY
  • NPI Number: 1386647907
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D0881424
LAB Type Home Health Agency
Facility Name MERCY ASSISTED CARE DBA MERCYHEALTH AT HOME
Street 901 MINERAL POINT AVE
City JANESVILLE
State WI
ZIP 53548
Phone 608 756-8237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Home Health Agency
Lab Director BRANDON COOLEY

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