16D1097399 CLIA NUMBER - SPRING PARK SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 16D1097399
  • Facility Name: SPRING PARK SURGERY CENTER, LLC
  • Facility Address: 3319 SPRING STREET, SUITE 202A
    DAVENPORT, IA
    ZIP 52807
  • Facility Phone: 563 355-6236
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HEATHER HILGENDORF-COOLEY
  • NPI Number: 1073516795
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1097399
LAB Type Ambulatory Surgery Center
Facility Name SPRING PARK SURGERY CENTER, LLC
Street 3319 SPRING STREET, SUITE 202A
City DAVENPORT
State IA
ZIP 52807
Phone 563 355-6236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Ambulatory Surgery Center
Lab Director HEATHER HILGENDORF-COOLEY

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