14D2285331 CLIA NUMBER - BRIGHTSIDE - PEORIA

Laboratory Demographics

  • CLIA Code: 14D2285331
  • Facility Name: BRIGHTSIDE - PEORIA
  • Facility Address: 24363 SPRING CREEK RD - STE A
    WASHINGTON, IL
    ZIP 61571
  • Facility Phone: 602 248-8886
  • Facility Type: Other - OUTPATIENT TREATMEN PROG
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. ABEYTA
  • NPI Number: 1699490375
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2285331
LAB Type Other - OUTPATIENT TREATMEN PROG
Facility Name BRIGHTSIDE - PEORIA
Street 24363 SPRING CREEK RD - STE A
City WASHINGTON
State IL
ZIP 61571
Phone 602 248-8886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Other - OUTPATIENT TREATMEN PROG
Lab Director JUSTIN M. ABEYTA

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: 9/29/2025