14D1091584 CLIA NUMBER - QUAD CITY ENDOSCOPY RSC ILLINOIS, LLC

Laboratory Demographics

  • CLIA Code: 14D1091584
  • Facility Name: QUAD CITY ENDOSCOPY RSC ILLINOIS, LLC
  • Facility Address: 4340 7TH ST
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 309 762-5560
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SREENIVAS CHINTALAPANI
  • NPI Number: 1245218411
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1091584
LAB Type Ambulatory Surgery Center
Facility Name QUAD CITY ENDOSCOPY RSC ILLINOIS, LLC
Street 4340 7TH ST
City MOLINE
State IL
ZIP 61265
Phone 309 762-5560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulatory Surgery Center
Lab Director SREENIVAS CHINTALAPANI

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