16D2228012 CLIA NUMBER - ADVANCED PRACTICE FAMILY CARE LLC

Laboratory Demographics

CLIA Number: 16D2228012

Facility Name: ADVANCED PRACTICE FAMILY CARE LLC

Facility Address:
2884 AAA COURT
BETTENDORF, IA
ZIP 52722
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Facility Phone Number: 563 296-3100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881260669

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	16D2228012
LAB Type	Physician Office
Facility Name	ADVANCED PRACTICE FAMILY CARE LLC
Street	2884 AAA COURT
City	BETTENDORF
State	IA
ZIP	52722
Phone	563 296-3100
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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