16D2236654 CLIA NUMBER - QUAD CITIES PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 16D2236654
  • Facility Name: QUAD CITIES PRIMARY CARE
  • Facility Address: 3385 DEXTER CT, SUITE 105 PAVILION 3
    DAVENPORT, IA
    ZIP 52807
  • Facility Phone: 563 551-3800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA A. KOPP
  • NPI Number: 1588332977
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director LISA A. KOPP

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This page was last updated on: 9/29/2025