CLIA lab
CLIA 16D0697121: Mercyone Fairbank Family Medicine
Fairbank, IA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 16D0697121 belongs to Mercyone Fairbank Family Medicine in Fairbank, IA.
Certificate of Waiver, effective July 2, 2026, expires July 1, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 2, 2026
- Certificate expiration
- July 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 16D0697121
- Lab name
- Mercyone Fairbank Family Medicine
- Address
- 105 South Walnut St, PO Box 427, Fairbank, IA 50629
- Phone
- (319) 635-2110
- Fax
- (319) 635-2509
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fairbank, IA
Related
Questions
What is the CLIA number for Mercyone Fairbank Family Medicine in Fairbank?
16D0697121, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercyone Fairbank Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 16D0697121 expire?
The CMS file lists July 1, 2028 as the certificate expiration date; the certificate took effect July 2, 2026.