14D1100907 CLIA NUMBER - GASTROINTESTINAL CLINIC OF THE QUAD CITIES

Laboratory Demographics

CLIA Number: 14D1100907

Facility Name: GASTROINTESTINAL CLINIC OF THE QUAD CITIES

Facility Address:
545 VALLEY VIEW DR
MOLINE, IL
ZIP 61265
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Facility Phone Number: 309 277-9220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942380605

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	14D1100907
LAB Type	Physician Office
Facility Name	GASTROINTESTINAL CLINIC OF THE QUAD CITIES
Street	545 VALLEY VIEW DR
City	MOLINE
State	IL
ZIP	61265
Phone	309 277-9220
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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