14D1091584 CLIA NUMBER - QUAD CITY ENDOSCOPY LLC

Laboratory Demographics

CLIA Number: 14D1091584

Facility Name: QUAD CITY ENDOSCOPY LLC

Facility Address:
4340 7TH STREET
MOLINE, IL
ZIP 61265
Get Directions

Facility Phone Number: 309 277-5624

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1245218411

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1091584
LAB Type	Ambulatory Surgery Center
Facility Name	QUAD CITY ENDOSCOPY LLC
Street	4340 7TH STREET
City	MOLINE
State	IL
ZIP	61265
Phone	309 277-5624
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024