14D2285338 CLIA NUMBER - BRIGHTSIDE - ROCKFORD

Laboratory Demographics

  • CLIA Code: 14D2285338
  • Facility Name: BRIGHTSIDE - ROCKFORD
  • Facility Address: 1667 BELVIDERE RD
    BELVIDERE, IL
    ZIP 61008
  • Facility Phone: 602 248-8886
  • Facility Type: Other - OUTPATIEN TREATMENT PROG
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. ABEYTA
  • NPI Number: 1518568062
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2285338
LAB Type Other - OUTPATIEN TREATMENT PROG
Facility Name BRIGHTSIDE - ROCKFORD
Street 1667 BELVIDERE RD
City BELVIDERE
State IL
ZIP 61008
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 - OUTPATIEN TREATMENT PROG
Lab Director JUSTIN M. ABEYTA

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