14D2178219 CLIA NUMBER - EVERNORTH DIRECT HEALTH, LL BORG WARNER BELLWOOD

Laboratory Demographics

  • CLIA Code: 14D2178219
  • Facility Name: EVERNORTH DIRECT HEALTH, LL BORG WARNER BELLWOOD
  • Facility Address: 700 25TH AVE
    BELLWOOD, IL
    ZIP 60104
  • Facility Phone: 480 868-0646
  • Facility Type: Other - OUT-PATIENT
  • Facility Type: Waiver
  • Lab Director: KATE LOWERY
  • NPI Number: 1710510235
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2178219
LAB Type Other - OUT-PATIENT
Facility Name EVERNORTH DIRECT HEALTH, LL BORG WARNER BELLWOOD
Street 700 25TH AVE
City BELLWOOD
State IL
ZIP 60104
Phone 480 868-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Other - OUT-PATIENT
Lab Director KATE LOWERY

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