14D2109672 CLIA NUMBER - GENESIS OCCUPATIONAL HEALTH MOLINE

Laboratory Demographics

  • CLIA Code: 14D2109672
  • Facility Name: GENESIS OCCUPATIONAL HEALTH MOLINE
  • Facility Address: 2526 41ST ST
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 309 281-2700
  • Facility Type: Other - OCCUPATIONAL HEALTH
  • Facility Type: Waiver
  • Lab Director: ROBERT MIXSELL
  • NPI Number: 1619282837
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2109672
LAB Type Other - OCCUPATIONAL HEALTH
Facility Name GENESIS OCCUPATIONAL HEALTH MOLINE
Street 2526 41ST ST
City MOLINE
State IL
ZIP 61265
Phone 309 281-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - OCCUPATIONAL HEALTH
Lab Director ROBERT MIXSELL

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