16D2139882 CLIA NUMBER - CENTER FOR BEHAVIORAL HEALTH IOWA, LLC BHG DAVENPORT TREATMENT CENTER

Laboratory Demographics

CLIA Number: 16D2139882

Facility Name: CENTER FOR BEHAVIORAL HEALTH IOWA, LLC BHG DAVENPORT TREATMENT CENTER

Facility Address:
3811 NORTH HARRISON STREET, SUITE #400
DAVENPORT, IA
ZIP 52806
Get Directions

Facility Phone Number: 563 388-8000

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1942613955

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	16D2139882
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	CENTER FOR BEHAVIORAL HEALTH IOWA, LLC BHG DAVENPORT TREATMENT CENTER
Street	3811 NORTH HARRISON STREET, SUITE #400
City	DAVENPORT
State	IA
ZIP	52806
Phone	563 388-8000
CertificateType	4
CertificateEffectiveDate	11/10/2023
CertificateExpirationDate	11/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024