16D1002368 CLIA NUMBER - DUBUQUE OPC

Laboratory Demographics

  • CLIA Code: 16D1002368
  • Facility Name: DUBUQUE OPC
  • Facility Address: 2600 DODGE ST SUITE A1
    DUBUQUE, IA
    ZIP 52003
  • Facility Phone: 563 589-8899
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: GRANT BULLOCK
  • NPI Number: 1376661777
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 16D1002368
LAB Type Community Clinic
Facility Name DUBUQUE OPC
Street 2600 DODGE ST SUITE A1
City DUBUQUE
State IA
ZIP 52003
Phone 563 589-8899
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/6/2002
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director GRANT BULLOCK

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