16D2110876 CLIA NUMBER - MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION

Laboratory Demographics

  • CLIA Code: 16D2110876
  • Facility Name: MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION
  • Facility Address: 630 4TH STREET, SUITE A
    DAVENPORT, IA
    ZIP 52801
  • Facility Phone: (563) 324-2828
  • Facility Type: Other - CARDIOVASCULAR RESEARCH
  • Facility Type: Waiver
  • Lab Director: NICOLAS W. SHAMMAS
  • NPI Number: 1891380432
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2110876
LAB Type Other - CARDIOVASCULAR RESEARCH
Facility Name MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION
Street 630 4TH STREET, SUITE A
City DAVENPORT
State IA
ZIP 52801
Phone 5633242828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2026
Certificate Expiration Date 3/24/2028
Facility Type Other - CARDIOVASCULAR RESEARCH
Lab Director NICOLAS W. SHAMMAS

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This page was last updated on: 5/18/2026