16D0387919 CLIA NUMBER - GENESIS HEATLH SYSTEM DBA GENESIS MEDICAL CENTER, EAST RUSHOLME STREET

Laboratory Demographics

  • CLIA Code: 16D0387919
  • Facility Name: GENESIS HEATLH SYSTEM DBA GENESIS MEDICAL CENTER, EAST RUSHOLME STREET
  • Facility Address: 1227 EAST RUSHOLME STREET
    DAVENPORT, IA
    ZIP 52803
  • Facility Phone: (563) 421-6130
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JENNIFER PRATHER
  • NPI Number: 1285673459
  • Taxonomy: 273R00000X - Psychiatric Unit

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0387919
LAB Type Hospital
Facility Name GENESIS HEATLH SYSTEM DBA GENESIS MEDICAL CENTER, EAST RUSHOLME STREET
Street 1227 EAST RUSHOLME STREET
City DAVENPORT
State IA
ZIP 52803
Phone 5634216130
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director JENNIFER PRATHER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026