14D2304955 CLIA NUMBER - GENESIS HEALTH GROUP - MOLINE ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 14D2304955
  • Facility Name: GENESIS HEALTH GROUP - MOLINE ENDOCRINOLOGY
  • Facility Address: 612 35TH AVE
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 309 281-6410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMESHKUMAR K. RAMAN
  • NPI Number: 1538110218
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2304955
LAB Type Physician Office
Facility Name GENESIS HEALTH GROUP - MOLINE ENDOCRINOLOGY
Street 612 35TH AVE
City MOLINE
State IL
ZIP 61265
Phone 309 281-6410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director RAMESHKUMAR K. RAMAN

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