16D1060785 CLIA NUMBER - CROW VALLEY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 16D1060785
  • Facility Name: CROW VALLEY SURGERY CENTER
  • Facility Address: 2300 53RD AVENUE, SUITE 200
    BETTENDORF, IA
    ZIP 52722
  • Facility Phone: 563 449-8988
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. PYEVICH
  • NPI Number: 1528142726
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1060785
LAB Type Ambulatory Surgery Center
Facility Name CROW VALLEY SURGERY CENTER
Street 2300 53RD AVENUE, SUITE 200
City BETTENDORF
State IA
ZIP 52722
Phone 563 449-8988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL T. PYEVICH

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