14D2230234 CLIA NUMBER - EVERSIDE HEALTH - AISIN MARION, IL

Laboratory Demographics

  • CLIA Code: 14D2230234
  • Facility Name: EVERSIDE HEALTH - AISIN MARION, IL
  • Facility Address: 8333 EXPRESS DR - STE D
    MARION, IL
    ZIP 62959
  • Facility Phone: 704 661-1380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL WILLHITE M D
  • NPI Number: 1821742891
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2230234
LAB Type Physician Office
Facility Name EVERSIDE HEALTH - AISIN MARION, IL
Street 8333 EXPRESS DR - STE D
City MARION
State IL
ZIP 62959
Phone 704 661-1380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director MICHAEL WILLHITE M D

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