16D0952051 CLIA NUMBER - TRI-STATE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 16D0952051
  • Facility Name: TRI-STATE SURGERY CENTER
  • Facility Address: 1500 ASSOCIATES DRIVE
    DUBUQUE, IA
    ZIP 52002
  • Facility Phone: 563 584-4500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAMANTHA FELTON
  • NPI Number: 1275530271
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0952051
LAB Type Ambulatory Surgery Center
Facility Name TRI-STATE SURGERY CENTER
Street 1500 ASSOCIATES DRIVE
City DUBUQUE
State IA
ZIP 52002
Phone 563 584-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Ambulatory Surgery Center
Lab Director SAMANTHA FELTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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