14D2065910 CLIA NUMBER - CONTEMPORARY OBSTETRICS & GYNE WOMEN'S CARE CTR

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Laboratory Demographics

CLIA Number: 14D2065910

Facility Name: CONTEMPORARY OBSTETRICS & GYNE WOMEN'S CARE CTR

Facility Address:
4322 7TH ST
MOLINE, IL
ZIP 61265
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Facility Phone Number: 309 517-6222

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780017426

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	14D2065910
LAB Type	Physician Office
Facility Name	CONTEMPORARY OBSTETRICS & GYNE WOMEN'S CARE CTR
Street	4322 7TH ST
City	MOLINE
State	IL
ZIP	61265
Phone	309 517-6222
CertificateType	4
CertificateEffectiveDate	11/9/2023
CertificateExpirationDate	11/8/2025
FacilityType	Waiver

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