14D1094419 CLIA NUMBER - CEVENE CARE CLINIC

Laboratory Demographics

  • CLIA Code: 14D1094419
  • Facility Name: CEVENE CARE CLINIC
  • Facility Address: 6451 E RIVERSIDE BLVD, STE 103
    ROCKFORD, IL
    ZIP 61114
  • Facility Phone: (815) 639-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOE O'SABEN
  • NPI Number: 1568580843
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1094419
LAB Type Physician Office
Facility Name CEVENE CARE CLINIC
Street 6451 E RIVERSIDE BLVD, STE 103
City ROCKFORD
State IL
ZIP 61114
Phone 8156399900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director JOE O'SABEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026