16D0387948 CLIA NUMBER - GENESIS HEALTH GROUP-ENDOCRINOLOGY

Laboratory Demographics

CLIA Number: 16D0387948

Facility Name: GENESIS HEALTH GROUP-ENDOCRINOLOGY

Facility Address:
2535 MAPLECREST ROAD SUITE 10
BETTENDORF, IA
ZIP 52722
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Facility Phone Number: 563 421-4620

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750485173

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	16D0387948
LAB Type	Physician Office
Facility Name	GENESIS HEALTH GROUP-ENDOCRINOLOGY
Street	2535 MAPLECREST ROAD SUITE 10
City	BETTENDORF
State	IA
ZIP	52722
Phone	563 421-4620
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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