16D0922776 CLIA NUMBER - DUBUQUE ENT HEAD & NECK SURGERY

Laboratory Demographics

  • CLIA Code: 16D0922776
  • Facility Name: DUBUQUE ENT HEAD & NECK SURGERY
  • Facility Address: 535 CEDAR CROSS ROAD
    DUBUQUE, IA
    ZIP 52003
  • Facility Phone: 563 588-0506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS J. BENDA JR
  • NPI Number: 1235110685
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 16D0922776
LAB Type Physician Office
Facility Name DUBUQUE ENT HEAD & NECK SURGERY
Street 535 CEDAR CROSS ROAD
City DUBUQUE
State IA
ZIP 52003
Phone 563 588-0506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director THOMAS J. BENDA JR

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