16D0966194 CLIA NUMBER - GENESIS HEALTH GROUP BETTENDORF PEDIATRICS

Laboratory Demographics

  • CLIA Code: 16D0966194
  • Facility Name: GENESIS HEALTH GROUP BETTENDORF PEDIATRICS
  • Facility Address: 2140 53RD AVENUE- SECOND FLOOR
    BETTENDORF, IA
    ZIP 52722
  • Facility Phone: 563 344-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIA HENSCH
  • NPI Number: 1932203353
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 16D0966194
LAB Type Physician Office
Facility Name GENESIS HEALTH GROUP BETTENDORF PEDIATRICS
Street 2140 53RD AVENUE- SECOND FLOOR
City BETTENDORF
State IA
ZIP 52722
Phone 563 344-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director JULIA HENSCH

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