16D1095045 CLIA NUMBER - JANE'S PLACE

Laboratory Demographics

  • CLIA Code: 16D1095045
  • Facility Name: JANE'S PLACE
  • Facility Address: 1035 WEST KIMBERLY ROAD
    DAVENPORT, IA
    ZIP 52806
  • Facility Phone: 563 386-7477
  • Facility Type: Other - ADULT DAY SERVICES
  • Facility Type: Waiver
  • Lab Director: MIKAEL GIBSON

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CLIA Record

Field Name Field Value
CLIA Number 16D1095045
LAB Type Other - ADULT DAY SERVICES
Facility Name JANE'S PLACE
Street 1035 WEST KIMBERLY ROAD
City DAVENPORT
State IA
ZIP 52806
Phone 563 386-7477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Other - ADULT DAY SERVICES
Lab Director MIKAEL GIBSON

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This page was last updated on: 3/20/2025