16D1035713 CLIA NUMBER - GENESIS HEALTH GROUP - INFECTIOUS DISEASE

Laboratory Demographics

  • CLIA Code: 16D1035713
  • Facility Name: GENESIS HEALTH GROUP - INFECTIOUS DISEASE
  • Facility Address: 1228 E RUSHOLME ST, BLDG 1, STE 3060
    DAVENPORT, IA
    ZIP 52803
  • Facility Phone: 563 421-4244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHARAT MOTWANI
  • NPI Number: 1922050814
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D1035713
LAB Type Physician Office
Facility Name GENESIS HEALTH GROUP - INFECTIOUS DISEASE
Street 1228 E RUSHOLME ST, BLDG 1, STE 3060
City DAVENPORT
State IA
ZIP 52803
Phone 563 421-4244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director BHARAT MOTWANI

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