16D2236654 CLIA NUMBER - QUAD CITIES PRIMARY CARE

Laboratory Demographics

CLIA Number: 16D2236654

Facility Name: QUAD CITIES PRIMARY CARE

Facility Address:
3385 DEXTER CT, SUITE 105 PAVILION 3
DAVENPORT, IA
ZIP 52807
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Facility Phone Number: 563 551-3800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1588332977

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	16D2236654
LAB Type	Physician Office
Facility Name	QUAD CITIES PRIMARY CARE
Street	3385 DEXTER CT, SUITE 105 PAVILION 3
City	DAVENPORT
State	IA
ZIP	52807
Phone	563 551-3800
CertificateType	3
CertificateEffectiveDate	9/20/2023
CertificateExpirationDate	9/19/2025
FacilityType	PPMP

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