16D1020964 CLIA NUMBER - ENDOSCOPY CENTER FOR DIGESTIVE HEALTH

Laboratory Demographics

CLIA Number: 16D1020964

Facility Name: ENDOSCOPY CENTER FOR DIGESTIVE HEALTH

Facility Address:
2222 53RD AVENUE
BETTENDORF, IA
ZIP 52722
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Facility Phone Number: 563 383-2686

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1447234919

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 16D1020964
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY CENTER FOR DIGESTIVE HEALTH
Street 2222 53RD AVENUE
City BETTENDORF
State IA
ZIP 52722
Phone 563 383-2686
CertificateType 4
CertificateEffectiveDate 1/8/2024
CertificateExpirationDate 1/7/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024