16D0696738 CLIA NUMBER - GENESIS HEALTH GROUP BETTENDORF OB/GYN

Laboratory Demographics

  • CLIA Code: 16D0696738
  • Facility Name: GENESIS HEALTH GROUP BETTENDORF OB/GYN
  • Facility Address: 865 LINCOLN ROAD SUITE 100
    BETTENDORF, IA
    ZIP 52722
  • Facility Phone: 563 355-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHANNON LEVERIDGE
  • NPI Number: 1841394269
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 16D0696738
LAB Type Physician Office
Facility Name GENESIS HEALTH GROUP BETTENDORF OB/GYN
Street 865 LINCOLN ROAD SUITE 100
City BETTENDORF
State IA
ZIP 52722
Phone 563 355-1000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SHANNON LEVERIDGE

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