16D0894825 CLIA NUMBER - GENESIS HEALTH GROUP

Laboratory Demographics

  • CLIA Code: 16D0894825
  • Facility Name: GENESIS HEALTH GROUP
  • Facility Address: 3200 WEST KIMBERLY ROAD
    DAVENPORT, IA
    ZIP 52806
  • Facility Phone: 563 421-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS LYONS
  • NPI Number: 1669576088
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0894825
LAB Type Physician Office
Facility Name GENESIS HEALTH GROUP
Street 3200 WEST KIMBERLY ROAD
City DAVENPORT
State IA
ZIP 52806
Phone 563 421-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director THOMAS LYONS

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