14D2165903 CLIA NUMBER - ACTIVE DAY OF MOLINE

Laboratory Demographics

  • CLIA Code: 14D2165903
  • Facility Name: ACTIVE DAY OF MOLINE
  • Facility Address: 4011 AVENUE OF THE CITIES - STE 102
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 215 642-6269
  • Facility Type: Other - ADULT DAY CARE
  • Facility Type: Waiver
  • Lab Director: AMY R. IAMS
  • NPI Number: 1508301433
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2165903
LAB Type Other - ADULT DAY CARE
Facility Name ACTIVE DAY OF MOLINE
Street 4011 AVENUE OF THE CITIES - STE 102
City MOLINE
State IL
ZIP 61265
Phone 215 642-6269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Other - ADULT DAY CARE
Lab Director AMY R. IAMS

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