16D0688091 CLIA NUMBER - MEDIC EMS OF SCOTT COUNTY

Laboratory Demographics

  • CLIA Code: 16D0688091
  • Facility Name: MEDIC EMS OF SCOTT COUNTY
  • Facility Address: 1204 EAST HIGH STREET
    DAVENPORT, IA
    ZIP 52803
  • Facility Phone: (563) 323-6806
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PAUL ANDORF
  • NPI Number: 1801861950
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0688091
LAB Type Ambulance
Facility Name MEDIC EMS OF SCOTT COUNTY
Street 1204 EAST HIGH STREET
City DAVENPORT
State IA
ZIP 52803
Phone 5633236806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulance
Lab Director PAUL ANDORF

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