16D2309736 CLIA NUMBER - GENESIS OCCUPATIONAL HEALTH ON SITE AT GENESIS

Laboratory Demographics

  • CLIA Code: 16D2309736
  • Facility Name: GENESIS OCCUPATIONAL HEALTH ON SITE AT GENESIS
  • Facility Address: 1236 E RUSHOLME ST LL 60
    DAVENPORT, IA
    ZIP 52803
  • Facility Phone: 563 421-0670
  • Facility Type: Other - OCCUPATIONAL HEALTH
  • Facility Type: Waiver
  • Lab Director: ROBERT MIXSELL

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CLIA Record

Field Name Field Value
CLIA Number 16D2309736
LAB Type Other - OCCUPATIONAL HEALTH
Facility Name GENESIS OCCUPATIONAL HEALTH ON SITE AT GENESIS
Street 1236 E RUSHOLME ST LL 60
City DAVENPORT
State IA
ZIP 52803
Phone 563 421-0670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other - OCCUPATIONAL HEALTH
Lab Director ROBERT MIXSELL

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