16D2180337 CLIA NUMBER - KIMBERLY DIERCKS-OETZEL, DC

Laboratory Demographics

  • CLIA Code: 16D2180337
  • Facility Name: KIMBERLY DIERCKS-OETZEL, DC
  • Facility Address: 2322 E KIMBERLY ROAD, SUITE 10S
    DAVENPORT, IA
    ZIP 52807
  • Facility Phone: 563 359-0899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. DIERCKS-OETZEL
  • NPI Number: 1548235096
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 16D2180337
LAB Type Physician Office
Facility Name KIMBERLY DIERCKS-OETZEL, DC
Street 2322 E KIMBERLY ROAD, SUITE 10S
City DAVENPORT
State IA
ZIP 52807
Phone 563 359-0899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director KIMBERLY A. DIERCKS-OETZEL

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