16D2200234 CLIA NUMBER - QV URGENT CARE IA PLLC

Laboratory Demographics

CLIA Number: 16D2200234

Facility Name: QV URGENT CARE IA PLLC

Facility Address:
801 NORTH GRAND AVENUE
MOUNT PLEASANT, IA
ZIP 52641
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Facility Phone Number: 319 984-4775

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407465917

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 16D2200234
LAB Type Physician Office
Facility Name QV URGENT CARE IA PLLC
Street 801 NORTH GRAND AVENUE
City MOUNT PLEASANT
State IA
ZIP 52641
Phone 319 984-4775
CertificateType 4
CertificateEffectiveDate 11/13/2022
CertificateExpirationDate 11/12/2024
FacilityType Waiver

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